MAKIN LIDDIN AHMED Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

INOPERATIVE

Business

First Name

MAKIN

Middle

LIDDIN

Last Name

AHMED

Business Name

MAKIN LIDDIN AHMED

Original Issue Date

07/23/2001

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023