IBRAHIM MUSTAFA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156614

License Status

ACTIVE

Business

Title

First Name

IBRAHIM

Last Name

MUSTAFA

Business Name

IBRAHIM MUSTAFA DO

Original Issue Date

04/19/2021

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

04/08/2023