KAMBIZ DOWLATSHAHI MD 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

KAMBIZ

Last Name

DOWLATSHAHI

Suffix

Business Name

KAMBIZ DOWLATSHAHI MD

Original Issue Date

09/04/1981

Effective Date

08/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017