MUTAZ ABDURAHMAN ELMAHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MUTAZ

Middle

ABDURAHMAN

Last Name

ELMAHI

Suffix

Business Name

MUTAZ ABDURAHMAN ELMAHI MD

Original Issue Date

06/14/2010

Effective Date

06/14/2010

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011