IBRAHIM MOHAMMAD MIAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Middle

MOHAMMAD

Last Name

MIAN

Business Name

IBRAHIM MOHAMMAD MIAN

Original Issue Date

04/04/2011

Effective Date

04/04/2011

Expiration Date

07/31/2014

City

ATLANTA

State

Zip

30342

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014