MOSTAFA GHANIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

MOSTAFA

Last Name

GHANIM

Business Name

MOSTAFA GHANIM MD

Original Issue Date

06/07/2023

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

MASON CITY

State

Zip

50401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023