IMTIAZ M AHMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

IMTIAZ M

Last Name

AHMAD

Suffix

Business Name

IMTIAZ M AHMAD MD

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

07/31/2002

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006