AMIR B RAFIZAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107133

License Status

NOT RENEWED

Business

First Name

AMIR

Middle

Last Name

RAFIZAD

Business Name

AMIR B RAFIZAD

Original Issue Date

06/07/2002

Effective Date

06/07/2002

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006