TANVEER SHAHABUDDIN MOLLAH MAKKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159070

License Status

ACTIVE

Business

Title

First Name

TANVEER

Middle

SHAHABUDDIN MOLLAH

Last Name

MAKKER

Business Name

TANVEER SHAHABUDDIN MOLLAH MAKKER MD

Original Issue Date

12/28/2021

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

09/24/2024