MUSTAFA IBRAHIM MUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094172

License Status

NOT RENEWED

Business

First Name

MUSTAFA IBRAHIM

Last Name

MUSA

Suffix

Business Name

MUSTAFA IBRAHIM MUSA MD

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

07/31/2002

City

VANDALIA

State

Zip

62471

County

CLINTON

Ever Disciplined

LastModifiedDate

10/09/2006