Information as of 08/14/2018

Last Updated by Licensee on 08/09/2018

Mouhamed Iyad Fakhri - MD
License#: 
Issue Date: 
200301225
08/09/2018
License Status: 
Renewal Date:
Active  
08/01/2019  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200301225 08/09/2018 
 200301225 10/17/2003 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 2010Temporary10/07/200311/03/2003
  RTL06/16/200006/30/2003
North Carolina Hospital Admitting Privileges
Sampson Regional Medical Center
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported