FAWAD AHMED SHAHEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

FAWAD

Middle

AHMED

Last Name

SHAHEEN

Business Name

FAWAD AHMED SHAHEEN MD

Original Issue Date

01/04/2017

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021