MOHAMED A A GASHOUTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

MOHAMED

Middle

A A

Last Name

GASHOUTA

Business Name

MOHAMED A A GASHOUTA MD

Original Issue Date

01/05/2024

Effective Date

01/05/2024

Expiration Date

07/31/2026

City

WEST BURLINGTON

State

Zip

52655

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2024