LEENA MAMMEN M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177863

License Status

ACTIVE

Business

Title

M.D.

First Name

LEENA

Last Name

MAMMEN

Business Name

LEENA MAMMEN M.D.

Original Issue Date

11/12/2025

Effective Date

11/12/2025

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85018

Ever Disciplined

LastModifiedDate

11/12/2025