KANWAL S MAHMOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

KANWAL S

Last Name

MAHMOOD

Suffix

Business Name

KANWAL S MAHMOOD MD

Original Issue Date

05/19/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MENARD

State

Zip

62259

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021