AZADEH NEZHAT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

AZADEH

Last Name

NEZHAT

Business Name

AZADEH NEZHAT

Original Issue Date

06/09/1999

Effective Date

06/09/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006