MOHAMMAD BASHAR OUSTWANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MOHAMMAD BASHAR

Last Name

OUSTWANI

Suffix

Business Name

MOHAMMAD BASHAR OUSTWANI MD

Original Issue Date

01/01/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014