AHMED ADAM MUSTAFA ABUDRA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005941

License Status

NOT RENEWED

Business

First Name

AHMED ADAM

Middle

MUSTAFA

Last Name

ABUDRA

Business Name

AHMED ADAM MUSTAFA ABUDRA

Original Issue Date

08/23/2016

Effective Date

02/13/2018

Expiration Date

03/01/2020

City

SALT LAKE CITY

State

Zip

84109

County

UTAH

Ever Disciplined

LastModifiedDate

11/24/2020