AHMAD FARID ZEGAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020896

License Status

NOT RENEWED

Business

First Name

AHMAD

Middle

FARID

Last Name

ZEGAR

Suffix

Business Name

AHMAD FARID ZEGAR MD

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006

Case Number

1988000546

Action

Probation

Discipline Start Date

07/07/1989