IMTIAZ AHMAD - Medical Doctor License in Illinois | # 036088461

IMTIAZ AHMAD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088461

License Status

NOT RENEWED

Business

N

First Name

IMTIAZ

Last Name

AHMAD

Business Name

IMTIAZ AHMAD

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

07/31/1999

State

IL

Ever Disciplined

Y

LastModifiedDate

11/16/2006

Case Number

2006002926

Action

Refuse To Renew

Discipline Start Date

07/20/2006

Discipline Reason

More than 30 days delinquent in the payment of child support.