SULTAN MOHAMMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

SULTAN

Last Name

MOHAMMAD

Suffix

Business Name

SULTAN MOHAMMAD MD

Original Issue Date

03/29/2007

Effective Date

03/29/2007

Expiration Date

07/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008