AMIR TARABEN 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

AMIR

Last Name

TARABEN

Suffix

Business Name

AMIR TARABEN MD

Original Issue Date

07/29/1991

Effective Date

07/29/1991

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006