MAHMOODA TABUSUM SYED DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

MAHMOODA

Middle

TABUSUM

Last Name

SYED

Business Name

MAHMOODA TABUSUM SYED DO

Original Issue Date

09/21/2012

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

ELMA

State

Zip

98541

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021