AHMED SAMIR BATA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136828

License Status

INACTIVE

Business

Title

First Name

AHMED

Middle

SAMIR

Last Name

BATA

Business Name

AHMED SAMIR BATA MD

Original Issue Date

11/20/2014

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

LOMA LINDA

State

Zip

92354

Ever Disciplined

LastModifiedDate

04/05/2020