SHAJI JAFFREY KAZI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

SHAJI

Middle

JAFFREY

Last Name

KAZI

Business Name

SHAJI JAFFREY KAZI

Original Issue Date

09/10/1991

Effective Date

09/10/1991

Expiration Date

07/31/2005

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006