TALLAL MOHAMMAD ZENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

TALLAL

Middle

MOHAMMAD

Last Name

ZENI

Suffix

Business Name

TALLAL MOHAMMAD ZENI MD

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006