FADI MOHAMAD MUSTAPHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115681

License Status

ACTIVE

Business

First Name

FADI

Middle

MOHAMAD

Last Name

MUSTAPHA

Suffix

Business Name

FADI MOHAMAD MUSTAPHA MD

Original Issue Date

04/11/2006

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/16/2023