REHAN AHMED NIZAMUDDIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068937

License Status

EXPIRED

Business

Title

First Name

REHAN

Middle

AHMED

Last Name

NIZAMUDDIN

Business Name

REHAN AHMED NIZAMUDDIN MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017