RAHMAN FAZIL MOHAMMED ABDUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138984

License Status

NOT RENEWED

Business

Title

First Name

RAHMAN

Middle

FAZIL

Last Name

MOHAMMED ABDUL

Business Name

RAHMAN FAZIL MOHAMMED ABDUL MD

Original Issue Date

08/21/2015

Effective Date

10/12/2017

Expiration Date

09/30/2020

City

MADISON

State

Zip

35758

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021