ENAAM ALSOUFI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162004

License Status

ACTIVE

Business

Title

First Name

ENAAM

Last Name

ALSOUFI

Business Name

ENAAM ALSOUFI MD

Original Issue Date

08/15/2022

Effective Date

09/01/2023

Expiration Date

07/31/2026

City

LEWISTOWN

State

Zip

17044

Ever Disciplined

LastModifiedDate

09/01/2023