KHOSRO J AHDOUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

KHOSRO J

Last Name

AHDOUT

Suffix

Business Name

KHOSRO J AHDOUT MD

Original Issue Date

10/05/1988

Effective Date

10/05/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006