IMTIAZ AHMAD - Medical Doctor License in Illinois | # 125027595

IMTIAZ AHMAD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027595

License Status

EXPIRED

Business

N

First Name

IMTIAZ

Last Name

AHMAD

Business Name

IMTIAZ AHMAD

Original Issue Date

11/27/1991

Effective Date

11/27/1991

Expiration Date

11/30/1994

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006