IHSAN MAMOUN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144384

License Status

INACTIVE

Business

Title

First Name

IHSAN

Last Name

MAMOUN

Business Name

IHSAN MAMOUN MD

Original Issue Date

09/25/2017

Effective Date

09/25/2017

Expiration Date

09/30/2020

City

TAMPA

State

Zip

33603

Ever Disciplined

LastModifiedDate

04/05/2020