MAZEN GHANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157290

License Status

ACTIVE

Business

Title

First Name

MAZEN

Last Name

GHANI

Business Name

MAZEN GHANI MD

Original Issue Date

06/07/2021

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

10/28/2024