TINA M HUSSEINI 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

TINA M

Last Name

HUSSEINI

Business Name

TINA M HUSSEINI

Original Issue Date

06/22/1995

Effective Date

06/22/1995

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006