ASMA SULTANA AHMAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

ASMA

Middle

SULTANA

Last Name

AHMAD

Suffix

Business Name

ASMA SULTANA AHMAD MD

Original Issue Date

04/11/2003

Effective Date

04/11/2003

Expiration Date

07/31/2005

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006