YUSUF ATA MOHYUDDIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048264

License Status

EXPIRED

Business

First Name

YUSUF

Middle

ATA

Last Name

MOHYUDDIN

Suffix

Business Name

YUSUF ATA MOHYUDDIN MD

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

06/30/2007

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007