DIANA M MAHBOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061509

License Status

CANCELLED

Business

Title

First Name

DIANA

Middle

Last Name

MAHBOD

Business Name

DIANA M MAHBOD MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

MURPHY

State

Zip

75094

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014