MIRIAM AHMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

MIRIAM

Last Name

AHMAD

Business Name

MIRIAM AHMAD MD

Original Issue Date

08/12/2022

Effective Date

08/12/2022

Expiration Date

07/31/2023

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023