SIMUKAYI MUTASA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

SIMUKAYI

Last Name

MUTASA

Business Name

SIMUKAYI MUTASA MD

Original Issue Date

10/28/2021

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10023

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024