MAQBOOL AHMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MAQBOOL

Last Name

AHMAD

Suffix

Business Name

MAQBOOL AHMAD MD

Original Issue Date

07/24/2008

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023