MOUNTAHA EIDY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168322

License Status

ACTIVE

Business

Title

First Name

MOUNTAHA

Last Name

EIDY

Business Name

MOUNTAHA EIDY DO

Original Issue Date

01/18/2024

Effective Date

01/18/2024

Expiration Date

07/31/2026

City

DEARBORN

State

Zip

48124

County

WAYNE

Ever Disciplined

LastModifiedDate

01/18/2024