IBRAHIM ABDALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Last Name

ABDALLA

Suffix

Business Name

IBRAHIM ABDALLA MD

Original Issue Date

05/04/1998

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

65807

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020