SULTAN MOHAMMAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048855

License Status

CANCELLED

Business

First Name

SULTAN

Last Name

MOHAMMAD

Suffix

Business Name

SULTAN MOHAMMAD MD

Original Issue Date

02/16/2005

Effective Date

02/16/2005

Expiration Date

02/15/2008

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/21/2008