SYED FAHAD IMAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142852

License Status

ACTIVE

Business

Title

First Name

SYED

Middle

FAHAD

Last Name

IMAM

Business Name

SYED FAHAD IMAM MD

Original Issue Date

04/03/2017

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

04/24/2023