ASMA SULTANA AHMAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

ASMA

Middle

SULTANA

Last Name

AHMAD

Suffix

Business Name

ASMA SULTANA AHMAD MD

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006