AHMAD FATHI MD - Medical Doctor License in Indiana | # 036054705

AHMAD FATHI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054705

License Status

NOT RENEWED

Business

N

First Name

AHMAD

Last Name

FATHI

Suffix

MD

Business Name

AHMAD FATHI MD

Original Issue Date

06/09/1977

Effective Date

06/18/2014

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

11/01/2017