SAMIR MOURAD MAHFOUZ 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

SAMIR

Middle

MOURAD

Last Name

MAHFOUZ

Business Name

SAMIR MOURAD MAHFOUZ MD

Original Issue Date

02/03/2012

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023