MOHAMMAD A MUSTAFA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

MOHAMMAD A

Last Name

MUSTAFA

Suffix

Business Name

MOHAMMAD A MUSTAFA MD

Original Issue Date

11/20/1990

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023