MOHAMED MAHMOUD ELSAMAHI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

NOT RENEWED

Business

First Name

MOHAMED

Middle

MAHMOUD

Last Name

ELSAMAHI

Business Name

MOHAMED MAHMOUD ELSAMAHI

Original Issue Date

12/14/2001

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

05/10/2018

Case Number

2008001054

Action

Suspension

Discipline Start Date

08/08/2013

Discipline End Date

09/07/2013

Discipline Reason

due to violation of Dept's Probation.