FARAZ SHAFIQUE AHMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

FARAZ

Middle

SHAFIQUE

Last Name

AHMAD

Business Name

FARAZ SHAFIQUE AHMAD MD

Original Issue Date

07/17/2014

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023