FAISEL MAQBOOL AHMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

FAISEL

Middle

MAQBOOL

Last Name

AHMAD

Suffix

Business Name

FAISEL MAQBOOL AHMAD MD

Original Issue Date

02/04/2011

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023