FAWAD AHMED MIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155160

License Status

ACTIVE

Business

Title

First Name

FAWAD

Middle

AHMED

Last Name

MIAN

Business Name

FAWAD AHMED MIAN MD

Original Issue Date

12/28/2020

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/06/2026