MOHAMMAD MAHBOOB AZAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122501

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

MAHBOOB

Last Name

AZAM

Suffix

Business Name

MOHAMMAD MAHBOOB AZAM MD

Original Issue Date

01/26/2009

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

NEW YORK

State

Zip

10036

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014