AHMED ALI TARIQ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110691

License Status

ACTIVE

Business

Title

First Name

AHMED

Middle

ALI

Last Name

TARIQ

Business Name

AHMED ALI TARIQ DO

Original Issue Date

01/15/2004

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

05/03/2023