MOHAMMAD EYMAN MORTADA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

NOT RENEWED

N

MD

MOHAMMAD

EYMAN

MORTADA

MOHAMMAD EYMAN MORTADA MD

08/05/2009

07/17/2017

09/30/2020

RIVER HILLS

WI

53217

WISCONSIN

PRACTITIONER

II III IV V

N

01/14/2021