MOHANNAD MOHAMMAD MANNAA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

MOHANNAD

Middle

MOHAMMAD

Last Name

MANNAA

Business Name

MOHANNAD MOHAMMAD MANNAA MD

Original Issue Date

09/19/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023