AMTUL R AHMAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

AMTUL R

Last Name

AHMAD

Business Name

AMTUL R AHMAD

Original Issue Date

07/06/1995

Effective Date

07/06/1995

Expiration Date

07/31/1996

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006