ASHRAF A AHMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

ASHRAF

Middle

Last Name

AHMED

Business Name

ASHRAF A AHMED MD

Original Issue Date

07/11/2014

Effective Date

08/04/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021