MUSHTAQ MAHMOOD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002655

License Status

INACTIVE

Business

First Name

MUSHTAQ

Last Name

MAHMOOD

Business Name

MUSHTAQ MAHMOOD

Original Issue Date

11/08/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WESTLAKE

State

Zip

44145

County

OHIO

Ever Disciplined

LastModifiedDate

12/09/2009