AIMEN ELMEHDI BEN AYAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

AIMEN

Middle

ELMEHDI

Last Name

BEN AYAD

Business Name

AIMEN ELMEHDI BEN AYAD MD

Original Issue Date

12/23/2016

Effective Date

09/04/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023