MOANIS K H BASTAWROUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

MOANIS

Middle

K H

Last Name

BASTAWROUS

Business Name

MOANIS K H BASTAWROUS MD

Original Issue Date

03/07/2022

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

ORLANDO

State

Zip

32814

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023