SHIRIN MANSOOR AHMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

SHIRIN

Middle

MANSOOR

Last Name

AHMAD

Suffix

Business Name

SHIRIN MANSOOR AHMAD MD

Original Issue Date

06/06/2007

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

FOLSOM

State

Zip

95630

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014