IMTIAZ M AHMAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090787

License Status

INACTIVE

Business

First Name

IMTIAZ M

Last Name

AHMAD

Suffix

Business Name

IMTIAZ M AHMAD MD

Original Issue Date

05/31/1995

Effective Date

05/31/1995

Expiration Date

07/31/2005

City

FORTVILLE

State

Zip

46040

Ever Disciplined

LastModifiedDate

03/26/2007