KOUROSH PAKZAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

KOUROSH

Last Name

PAKZAD

Suffix

Business Name

KOUROSH PAKZAD MD

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008