GIBRAN HAMID MAHMUD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

GIBRAN

Middle

HAMID

Last Name

MAHMUD

Business Name

GIBRAN HAMID MAHMUD MD

Original Issue Date

09/12/2014

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023