MUZAMMAL AHMED DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072815

License Status

CANCELLED

Business

Title

First Name

MUZAMMAL

Last Name

AHMED

Business Name

MUZAMMAL AHMED DO

Original Issue Date

06/30/2018

Effective Date

06/30/2018

Expiration Date

06/29/2021

City

URBANA

State

Zip

61801

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

06/05/2018