MANSOOR AHMAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055157

License Status

CANCELLED

Business

Title

First Name

MANSOOR

Last Name

AHMAD

Business Name

MANSOOR AHMAD MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/31/2011