MAZEN KHAYATA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090186

License Status

INACTIVE

Business

First Name

MAZEN

Last Name

KHAYATA

Suffix

Business Name

MAZEN KHAYATA MD

Original Issue Date

02/15/1995

Effective Date

02/15/1995

Expiration Date

07/31/1999

City

SCOTTSDALE

State

Zip

85253

Ever Disciplined

LastModifiedDate

07/06/2007

Case Number

2007002228

Action

Refuse To Renew

Discipline Start Date

06/05/2007

Discipline Reason

after being disciplined in the state of Arizona.