DEEPAK G AZAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

DEEPAK

Middle

Last Name

AZAD

Business Name

DEEPAK G AZAD

Original Issue Date

10/22/1997

Effective Date

10/22/1997

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006