AYAZ AHAMED Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

AYAZ

Last Name

AHAMED

Business Name

AYAZ AHAMED

Original Issue Date

12/20/2010

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/15/2015