FASAHAT H HAMZAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

FASAHAT

Middle

Last Name

HAMZAVI

Suffix

Business Name

FASAHAT H HAMZAVI MD

Original Issue Date

08/10/2005

Effective Date

08/10/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008