SHAHRUKH AHMAD KUREISHY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

SHAHRUKH

Middle

AHMAD

Last Name

KUREISHY

Business Name

SHAHRUKH AHMAD KUREISHY

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006