IMTIAZ AHMAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088461

License Status

NOT RENEWED

Business

First Name

IMTIAZ

Last Name

AHMAD

Business Name

IMTIAZ AHMAD

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

07/31/1999

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Ever Disciplined

LastModifiedDate

11/16/2006

Case Number

2006002926

Action

Refuse To Renew

Discipline Start Date

07/20/2006

Discipline Reason

More than 30 days delinquent in the payment of child support.