RAZAN MASSARANI-WAFAI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

RAZAN

Last Name

MASSARANI-WAFAI

Business Name

RAZAN MASSARANI-WAFAI

Original Issue Date

07/26/1995

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023