JAMAL D MUSTAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083112

License Status

NOT RENEWED

Business

First Name

JAMAL D

Last Name

MUSTAFA

Suffix

Business Name

JAMAL D MUSTAFA MD

Original Issue Date

07/29/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FONTANA

State

Zip

92336

Ever Disciplined

LastModifiedDate

06/21/2011

Case Number

1993005736

Action

Probation

Discipline Start Date

08/22/1994

Discipline End Date

01/15/2002

Discipline Reason

Substance abuse problem.