SHAZLI MANZOOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

SHAZLI

Last Name

MANZOOR

Business Name

SHAZLI MANZOOR

Original Issue Date

11/17/2000

Effective Date

11/17/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020