ABDUL SAMAD MASOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

ABDUL SAMAD

Last Name

MASOUD

Suffix

Business Name

ABDUL SAMAD MASOUD MD

Original Issue Date

08/13/1987

Effective Date

08/13/1987

Expiration Date

07/31/1990

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006