ALI REZA TAJIKAHMADABAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

ALI

Middle

REZA

Last Name

TAJIKAHMADABAD

Suffix

Business Name

ALI REZA TAJIKAHMADABAD MD

Original Issue Date

11/22/2002

Effective Date

11/22/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006