MOHAMMAD R TABATABAEI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

MOHAMMAD

Middle

Last Name

TABATABAEI

Business Name

MOHAMMAD R TABATABAEI

Original Issue Date

11/15/2004

Effective Date

12/19/2025

Expiration Date

03/01/2028

City

FORSYTH

State

Zip

62535

County

MOULTRIE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2025