JALAL ABTAHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

JALAL

Last Name

ABTAHI

Suffix

Business Name

JALAL ABTAHI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006