FAISAL MANZOOR BHUTTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

CANCELLED

Business

First Name

FAISAL

Middle

MANZOOR

Last Name

BHUTTA

Suffix

Business Name

FAISAL MANZOOR BHUTTA MD

Original Issue Date

09/03/2004

Effective Date

09/03/2004

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008