OTHMAN MAHMOUD MOHAMMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166927

License Status

ACTIVE

Business

Title

First Name

OTHMAN

Middle

MAHMOUD

Last Name

MOHAMMAD

Business Name

OTHMAN MAHMOUD MOHAMMAD MD

Original Issue Date

09/07/2023

Effective Date

09/07/2023

Expiration Date

07/31/2026

City

AGAWAM

State

Zip

01001

Ever Disciplined

LastModifiedDate

05/21/2023