AYAZ AHAMED Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003966

License Status

NOT RENEWED

Business

First Name

AYAZ

Last Name

AHAMED

Business Name

AYAZ AHAMED

Original Issue Date

12/09/2010

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/15/2015