NAZEM ABDELFATTAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

NAZEM

Last Name

ABDELFATTAH

Business Name

NAZEM ABDELFATTAH MD

Original Issue Date

04/27/2012

Effective Date

04/27/2012

Expiration Date

07/31/2014

City

GRAND BLANC

State

Zip

48439

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014