AHMER RAZZAQUE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078608

License Status

EXPIRED

Business

Title

First Name

AHMER

Last Name

RAZZAQUE

Business Name

AHMER RAZZAQUE DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024