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Aysam
Aysam
Mahmoud
Medical doctor
Bentonville, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Aysam Mahmoud
Job Title
Medical Doctor
Location
Bentonville, AR, USA
LIC ID
158539
Current License Expiration Date
31/01/2024
Original Date
03/02/2022
Professional Rank Code
ME
Effective Date
03/02/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
Apt 307
Practice Location Address Line 1
5802 SW Crozier Cir
Practice Location Address Line 2
Apt 307
Practice Location Address City
BENTONVILLE
Practice Location Address State
AR
Practice Location Address Zipcode
72713
Prescribing Indicator
N
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