HORMUZDIYAR HENRY DASENBROCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

HORMUZDIYAR

Middle

HENRY

Last Name

DASENBROCK

Business Name

HORMUZDIYAR HENRY DASENBROCK MD

Original Issue Date

07/02/2018

Effective Date

07/02/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021