ASADULLA SAMIULLA MOHAMMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

ASADULLA

Middle

SAMIULLA

Last Name

MOHAMMED

Business Name

ASADULLA SAMIULLA MOHAMMED MD

Original Issue Date

08/09/2017

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

BERKLEY

State

Zip

48072

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021