TALLAL MOHAMMAD ZENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111211

License Status

NOT RENEWED

Business

First Name

TALLAL

Middle

MOHAMMAD

Last Name

ZENI

Suffix

Business Name

TALLAL MOHAMMAD ZENI MD

Original Issue Date

04/19/2004

Effective Date

04/19/2004

Expiration Date

07/31/2005

City

FISHERS

State

Zip

46038

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006