ANIS AHMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049910

License Status

ACTIVE

Business

First Name

ANIS

Last Name

AHMAD

Suffix

Business Name

ANIS AHMAD MD

Original Issue Date

10/10/1974

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/03/2023

Case Number

2023003690

Action

Suspension

Discipline Start Date

07/03/2023

Discipline End Date

08/01/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/02/2023.