SYED KAZIM RAZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

SYED KAZIM

Last Name

RAZA

Suffix

Business Name

SYED KAZIM RAZA MD

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

07/31/2005

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020