ABDUR RAHMAN FUZAIL AHMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

ABDUR RAHMAN

Middle

FUZAIL

Last Name

AHMAD

Business Name

ABDUR RAHMAN FUZAIL AHMAD MD

Original Issue Date

03/21/2022

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023