MANAL EMAD MOUSTAFA MD - Medical Doctor License in Georgia | # 036149205

MANAL EMAD MOUSTAFA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149205

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MANAL

Middle

EMAD

Last Name

MOUSTAFA

Business Name

MANAL EMAD MOUSTAFA MD

Original Issue Date

04/24/2019

Effective Date

04/24/2019

Expiration Date

09/30/2020

State

GA

Ever Disciplined

N

LastModifiedDate

01/14/2021