DIANA M MAHBOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Middle

Last Name

MAHBOD

Business Name

DIANA M MAHBOD MD

Original Issue Date

06/02/2015

Effective Date

06/02/2015

Expiration Date

07/31/2017

City

MURPHY

State

Zip

75094

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2024