ADILLS MOOSA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154391

License Status

ACTIVE

Business

Title

First Name

ADILLS

Last Name

MOOSA

Business Name

ADILLS MOOSA DO

Original Issue Date

09/28/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

04/07/2023