FAHEEMUDDIN AZHER AHMED MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052827

License Status

CANCELLED

Business

Title

First Name

FAHEEMUDDIN

Middle

AZHER

Last Name

AHMED

Business Name

FAHEEMUDDIN AZHER AHMED MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2007