ABDUR RAHMAN FUZAIL AHMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159550

License Status

ACTIVE

Business

Title

First Name

ABDUR RAHMAN

Middle

FUZAIL

Last Name

AHMAD

Business Name

ABDUR RAHMAN FUZAIL AHMAD MD

Original Issue Date

02/24/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/17/2023