MOHAMED MAHMOUD ELSAMAHI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001661

License Status

NOT RENEWED

Business

First Name

MOHAMED

Middle

MAHMOUD

Last Name

ELSAMAHI

Business Name

MOHAMED MAHMOUD ELSAMAHI

Original Issue Date

10/31/2001

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/10/2018

Case Number

2008001054

Action

Probation

Discipline Start Date

06/12/2009

Discipline End Date

07/01/2013

Discipline Reason

practiced beyond the scope of his license.