MUHAMMAD I MUSTAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

MUHAMMAD I

Last Name

MUSTAFA

Suffix

Business Name

MUHAMMAD I MUSTAFA MD

Original Issue Date

11/03/1983

Effective Date

11/03/1983

Expiration Date

07/31/1984

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006