OMAID KHALID AHMAD DDS - Dentist License in Wisconsin | # 31*****36

OMAID KHALID AHMAD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

OMAID

Middle

KHALID

Last Name

AHMAD

Business Name

OMAID KHALID AHMAD DDS

Original Issue Date

03/27/2015

Effective Date

09/29/2015

Expiration Date

09/30/2018

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018