FAHEEMUDDIN AZHER AHMED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

FAHEEMUDDIN

Middle

AZHER

Last Name

AHMED

Business Name

FAHEEMUDDIN AZHER AHMED MD

Original Issue Date

07/16/2010

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023