SHAZIA SAMAN AHMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

SHAZIA

Middle

SAMAN

Last Name

AHMED

Business Name

SHAZIA SAMAN AHMED MD

Original Issue Date

06/16/2016

Effective Date

06/16/2016

Expiration Date

07/31/2017

City

BOSTON

State

Zip

02116

County

MASSACHUSETTS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020