HANI AHMED 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

HANI

Last Name

AHMED

Suffix

Business Name

HANI AHMED MD

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011