NINA W KHAZEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104073

License Status

NOT RENEWED

Business

First Name

NINA

Middle

Last Name

KHAZEN

Business Name

NINA W KHAZEN

Original Issue Date

01/25/2001

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014