FIROUZEH TALISCHI HERAVI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

FIROUZEH

Last Name

TALISCHI HERAVI

Business Name

FIROUZEH TALISCHI HERAVI

Original Issue Date

08/04/1997

Effective Date

08/04/1997

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006