GOUHER RIZVI WALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

GOUHER

Middle

RIZVI

Last Name

WALI

Suffix

Business Name

GOUHER RIZVI WALI MD

Original Issue Date

09/06/1996

Effective Date

09/06/1996

Expiration Date

07/31/1999

City

STREAMWOOD

State

Zip

60107

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006