MOKERRUM FATIMA MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147000

License Status

NOT RENEWED

Business

Title

First Name

MOKERRUM

Middle

FATIMA

Last Name

MALIK

Business Name

MOKERRUM FATIMA MALIK MD

Original Issue Date

07/24/2018

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

11/30/2023