MOSTAFA MAHMOUD AHMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

MOSTAFA

Middle

MAHMOUD

Last Name

AHMED

Business Name

MOSTAFA MAHMOUD AHMED MD

Original Issue Date

05/28/2021

Effective Date

05/28/2021

Expiration Date

07/31/2023

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023