MUTAZ MUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150055

License Status

NOT RENEWED

Business

Title

First Name

MUTAZ

Last Name

MUSA

Business Name

MUTAZ MUSA MD

Original Issue Date

07/01/2019

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

11/30/2023