MISBAHUDDIN AHMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MISBAHUDDIN

Last Name

AHMED

Suffix

Business Name

MISBAHUDDIN AHMED MD

Original Issue Date

09/22/1981

Effective Date

09/22/1981

Expiration Date

07/31/1984

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020