YAZEED MAZEN GUSSOUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140772

License Status

NOT RENEWED

Business

Title

First Name

YAZEED

Middle

MAZEN

Last Name

GUSSOUS

Business Name

YAZEED MAZEN GUSSOUS MD

Original Issue Date

05/25/2016

Effective Date

08/28/2017

Expiration Date

09/30/2020

City

COLUMBUS

State

Zip

43212

Ever Disciplined

LastModifiedDate

01/14/2021