SHAFIQUE AHMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

SHAFIQUE

Last Name

AHMAD

Suffix

Business Name

SHAFIQUE AHMAD MD

Original Issue Date

01/01/1997

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023