ABDUL-MANNAN MOHAMMED MASOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

ABDUL-MANNAN

Middle

MOHAMMED

Last Name

MASOOD

Business Name

ABDUL-MANNAN MOHAMMED MASOOD MD

Original Issue Date

05/03/2018

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

MASON

State

Zip

45040

County

WARREN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021