MUSA MODAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085710

License Status

INACTIVE

Business

First Name

MUSA

Last Name

MODAD

Suffix

Business Name

MUSA MODAD MD

Original Issue Date

01/14/1993

Effective Date

01/14/1993

Expiration Date

07/31/1993

City

STANTON

State

Zip

63079

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/23/2011