EMAD SHOUKRI ATALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

EMAD

Middle

SHOUKRI

Last Name

ATALLA

Suffix

Business Name

EMAD SHOUKRI ATALLA MD

Original Issue Date

10/18/2022

Effective Date

10/18/2022

Expiration Date

07/31/2023

City

LIVONIA

State

Zip

48150

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023