MOHAMMED OMER MIRZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

OMER

Last Name

MIRZA

Business Name

MOHAMMED OMER MIRZA MD

Original Issue Date

04/28/2022

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

WEST HAVEN

State

Zip

06516

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023