DIANA M MAHBOD MD - Medical Doctor License in Texas | # 125061509

DIANA M MAHBOD MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061509

License Status

CANCELLED

Business

N

Title

MD

First Name

DIANA

Middle

M

Last Name

MAHBOD

Business Name

DIANA M MAHBOD MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

State

TX

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014