SHAHID M AHSAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

SHAHID

Middle

Last Name

AHSAN

Business Name

SHAHID M AHSAN

Original Issue Date

04/05/2023

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

WEST LAFAYETTE

State

Zip

47906

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2023