AFSHIN KHAZEI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

AFSHIN

Last Name

KHAZEI

Business Name

AFSHIN KHAZEI

Original Issue Date

01/28/1998

Effective Date

01/28/1998

Expiration Date

07/31/2002

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006