AZIZ OLLA MAHBOUBI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

AZIZ

Middle

OLLA

Last Name

MAHBOUBI

Suffix

Business Name

AZIZ OLLA MAHBOUBI MD

Original Issue Date

03/16/1998

Effective Date

03/16/1998

Expiration Date

07/31/1999

City

HARRISBURG

State

Zip

62946

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006