MAZEN SAMIR HARAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128316

License Status

ACTIVE

Business

Title

First Name

MAZEN

Middle

SAMIR

Last Name

HARAKE

Business Name

MAZEN SAMIR HARAKE MD

Original Issue Date

07/01/2011

Effective Date

09/19/2023

Expiration Date

07/31/2026

City

TROY

State

Zip

48084

Ever Disciplined

LastModifiedDate

09/19/2023