MAZIN SHACKOUR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171144

License Status

ACTIVE

Business

First Name

MAZIN

Last Name

SHACKOUR

Business Name

MAZIN SHACKOUR

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

07/31/2026

City

MARTINSBURG

State

Zip

25404

Ever Disciplined

LastModifiedDate

09/23/2025