MOHAMMAD R TABATABAEI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002332

License Status

ACTIVE

Business

First Name

MOHAMMAD

Middle

Last Name

TABATABAEI

Business Name

MOHAMMAD R TABATABAEI

Original Issue Date

09/15/2004

Effective Date

12/19/2025

Expiration Date

03/01/2028

City

SULLIVAN

State

Zip

61951

Ever Disciplined

LastModifiedDate

12/19/2025