MUSHTAQ MAHMOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

NOT RENEWED

Business

First Name

MUSHTAQ

Last Name

MAHMOOD

Business Name

MUSHTAQ MAHMOOD

Original Issue Date

02/07/2006

Effective Date

02/07/2006

Expiration Date

03/01/2008

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/26/2006