AMMAR DULLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

AMMAR

Last Name

DULLI

Suffix

Business Name

AMMAR DULLI MD

Original Issue Date

11/08/2006

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CORDOVA

State

Zip

38016

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023