SHAD S AHMAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031390

License Status

EXPIRED

Business

First Name

SHAD S

Last Name

AHMAD

Business Name

SHAD S AHMAD

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

06/30/1997

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006