IRADA MAMUKADZE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178796

License Status

ACTIVE

Business

Title

First Name

IRADA

Last Name

MAMUKADZE

Business Name

IRADA MAMUKADZE MD

Original Issue Date

02/05/2026

Effective Date

02/05/2026

Expiration Date

07/31/2026

City

EAST LANSING

State

Zip

48823

Ever Disciplined

LastModifiedDate

02/05/2026