FARIS A AHMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

FARIS

Middle

Last Name

AHMED

Business Name

FARIS A AHMED MD

Original Issue Date

05/28/2010

Effective Date

05/28/2010

Expiration Date

07/31/2011

City

SALT LAKE CITY

State

Zip

84109

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011