HANI AHMED MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050441

License Status

CANCELLED

Business

First Name

HANI

Last Name

AHMED

Suffix

Business Name

HANI AHMED MD

Original Issue Date

07/06/2005

Effective Date

07/06/2005

Expiration Date

06/30/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006