SIAMAK SAFAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

SIAMAK

Last Name

SAFAR

Business Name

SIAMAK SAFAR

Original Issue Date

04/02/1987

Effective Date

04/02/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006