AHMAD HATAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043575

License Status

INACTIVE

Business

First Name

AHMAD

Last Name

HATAM

Suffix

Business Name

AHMAD HATAM MD

Original Issue Date

07/13/1970

Effective Date

07/13/1970

Expiration Date

07/31/1987

City

LOUISVILLE

State

Zip

40222

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006