HAYTHAM EZZAT MARIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147511

License Status

NOT RENEWED

Business

Title

First Name

HAYTHAM

Middle

EZZAT

Last Name

MARIA

Business Name

HAYTHAM EZZAT MARIA MD

Original Issue Date

09/27/2018

Effective Date

09/27/2018

Expiration Date

09/30/2020

City

OMAHA

State

Zip

68131

County

DOUGLAS

Ever Disciplined

LastModifiedDate

01/14/2021