MOSAAB MAHMOUD AHMED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

MOSAAB

Middle

MAHMOUD

Last Name

AHMED

Business Name

MOSAAB MAHMOUD AHMED MD

Original Issue Date

10/06/2014

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023