IMTIAZ AHMAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

IMTIAZ

Last Name

AHMAD

Business Name

IMTIAZ AHMAD

Original Issue Date

07/08/1994

Effective Date

07/08/1994

Expiration Date

07/31/1999

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2006002927

Action

Refuse To Renew

Discipline Start Date

07/20/2006

Discipline Reason

More than 30 days delinquent in the payment of child support.