IMTIAZ AHMAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027595

License Status

EXPIRED

Business

First Name

IMTIAZ

Last Name

AHMAD

Business Name

IMTIAZ AHMAD

Original Issue Date

11/27/1991

Effective Date

11/27/1991

Expiration Date

11/30/1994

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006