MAHMUD MUSTAFA-AMMAR AL-FURGANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058832

License Status

CANCELLED

Business

Title

First Name

MAHMUD

Middle

MUSTAFA-AMMAR

Last Name

AL-FURGANI

Business Name

MAHMUD MUSTAFA-AMMAR AL-FURGANI MD

Original Issue Date

02/24/2010

Effective Date

02/24/2010

Expiration Date

06/23/2013

City

HERCULANEUM

State

Zip

63048

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2010