MUSTAFA HASSANALI FIDAHUSSEIN MD - Medical Doctor License in Maryland | # 036116144

MUSTAFA HASSANALI FIDAHUSSEIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116144

License Status

NOT RENEWED

Business

N

First Name

MUSTAFA

Middle

HASSANALI

Last Name

FIDAHUSSEIN

Suffix

MD

Business Name

MUSTAFA HASSANALI FIDAHUSSEIN MD

Original Issue Date

06/06/2006

Effective Date

07/02/2008

Expiration Date

07/31/2011

State

MD

Ever Disciplined

N

LastModifiedDate

11/14/2011