USAMA MAHAMEED MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071241

License Status

CANCELLED

Business

Title

First Name

USAMA

Last Name

MAHAMEED

Business Name

USAMA MAHAMEED MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

08/28/2020

City

FORT WAYNE

State

Zip

46825

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/10/2017