MOHAMMAD S AMMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

Last Name

AMMAR

Suffix

Business Name

MOHAMMAD S AMMAR MD

Original Issue Date

04/10/2006

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014