MANAL EMAD MOUSTAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149205

License Status

NOT RENEWED

Business

Title

First Name

MANAL

Middle

EMAD

Last Name

MOUSTAFA

Business Name

MANAL EMAD MOUSTAFA MD

Original Issue Date

04/24/2019

Effective Date

04/24/2019

Expiration Date

09/30/2020

City

ATLANTA

State

Zip

30324

Ever Disciplined

LastModifiedDate

01/14/2021