GHOLAMREZA F POURZIA MD 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

GHOLAMREZA

Middle

Last Name

POURZIA

Suffix

Business Name

GHOLAMREZA F POURZIA MD

Original Issue Date

05/03/1985

Effective Date

05/03/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006