MOHAMAD IMAD HAQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

MOHAMAD

Middle

IMAD

Last Name

HAQUE

Business Name

MOHAMAD IMAD HAQUE MD

Original Issue Date

12/06/2021

Effective Date

12/06/2021

Expiration Date

07/31/2023

City

MEDINA

State

Zip

98039

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023