MOKERRUM FATIMA MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

MOKERRUM

Middle

FATIMA

Last Name

MALIK

Business Name

MOKERRUM FATIMA MALIK MD

Original Issue Date

07/24/2018

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023