FAHEEM AHMAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076657

License Status

CANCELLED

Business

Title

First Name

FAHEEM

Last Name

AHMAD

Business Name

FAHEEM AHMAD MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2020