FAZAL AHMED - Medical Doctor License in Illinois | # 125038727

FAZAL AHMED

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038727

License Status

EXPIRED

Business

N

First Name

FAZAL

Last Name

AHMED

Business Name

FAZAL AHMED

Original Issue Date

07/09/1998

Effective Date

07/09/1998

Expiration Date

07/06/2003

State

IL

Specialty/Qualifier

Child & Adolescent Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006