FATIMA AZIZ AHMED DO - Medical Doctor License in Illinois | # 125048188

FATIMA AZIZ AHMED DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048188

License Status

EXPIRED

Business

N

First Name

FATIMA

Middle

AZIZ

Last Name

AHMED

Suffix

DO

Business Name

FATIMA AZIZ AHMED DO

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/07/2010