MALEK SHUKRI HUSSEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

MALEK

Middle

SHUKRI

Last Name

HUSSEIN

Business Name

MALEK SHUKRI HUSSEIN MD

Original Issue Date

09/28/2012

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

GRAND BLANC

State

Zip

48439

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017