MUSTAFA HASSANALI FIDAHUSSEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116144

License Status

NOT RENEWED

Business

First Name

MUSTAFA

Middle

HASSANALI

Last Name

FIDAHUSSEIN

Suffix

Business Name

MUSTAFA HASSANALI FIDAHUSSEIN MD

Original Issue Date

06/06/2006

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

PERRY HALL

State

Zip

21128

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/14/2011