ASGAR A BOXWALLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

ASGAR A

Last Name

BOXWALLA

Business Name

ASGAR A BOXWALLA

Original Issue Date

12/01/1997

Effective Date

12/01/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006