YASSIR MAHMOUD SIRAJELDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

YASSIR

Middle

MAHMOUD

Last Name

SIRAJELDIN

Business Name

YASSIR MAHMOUD SIRAJELDIN MD

Original Issue Date

05/04/2020

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WEST BLOOMFIELD

State

Zip

48322

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023