MOHAMMAD FAHAD BIN ASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

MOHAMMAD

Middle

FAHAD BIN

Last Name

ASAD

Business Name

MOHAMMAD FAHAD BIN ASAD MD

Original Issue Date

02/01/2021

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023