SAMER MOHD FARUQ MUALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

SAMER

Middle

MOHD FARUQ

Last Name

MUALA

Business Name

SAMER MOHD FARUQ MUALA MD

Original Issue Date

08/17/2020

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

GOODYEAR

State

Zip

85395

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023