License holder summary

IMTIAZ AHMAD is a Board Of Medicine licensed to practice in Idaho. The address on file for IMTIAZ AHMAD is 10 JEFFREY LN GREAT NECK NY 11020. This licensed professional license is not current. The license was granted 06/20/2007 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

IMTIAZ AHMAD
Board Of Medicine
License number
M-9997
Date granted
06/20/2007
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
10 JEFFREY LN GREAT NECK NY 11020
idaholicensing.com
ID 48329749
LAST UPDATED 2026-05-09 05:31:14 UTC

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