FETHIYA MOHAMMAD MAHMOUD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062431

License Status

EXPIRED

Business

Title

First Name

FETHIYA

Middle

MOHAMMAD

Last Name

MAHMOUD

Business Name

FETHIYA MOHAMMAD MAHMOUD MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015