JAWED EHSAN MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

INOPERATIVE

Business

Title

First Name

JAWED

Last Name

EHSAN

Business Name

JAWED EHSAN MD

Original Issue Date

10/14/1994

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014