SAULAT MUSHTAQ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

SAULAT

Last Name

MUSHTAQ

Suffix

Business Name

SAULAT MUSHTAQ MD

Original Issue Date

02/01/2018

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023