MARYAM HOSSEINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

MARYAM

Last Name

HOSSEINI

Business Name

MARYAM HOSSEINI MD

Original Issue Date

07/30/2022

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

BROOKHAVEN

State

Zip

30329

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023