ALI KHAZAEI-NEZHAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

ALI

Last Name

KHAZAEI-NEZHAD

Suffix

Business Name

ALI KHAZAEI-NEZHAD MD

Original Issue Date

08/11/2006

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

LAGUNA NIGEUL

State

Zip

92677

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021