MAHTAB AHMED MUFTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048920

License Status

NOT RENEWED

Business

First Name

MAHTAB AHMED

Last Name

MUFTI

Suffix

Business Name

MAHTAB AHMED MUFTI MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

Expiration Date

07/31/1984

City

STATEN ISLAND

State

Zip

10312

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1984000659

Action

Revocation

Discipline Start Date

02/19/1986

Discipline End Date

09/03/1993