AHMAD FATHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054705

License Status

NOT RENEWED

Business

First Name

AHMAD

Last Name

FATHI

Suffix

Business Name

AHMAD FATHI MD

Original Issue Date

06/09/1977

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017