ZIA M AHMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

ZIA M

Last Name

AHMAD

Suffix

Business Name

ZIA M AHMAD MD

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

07/31/1999

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020