AZADEH NAMAKYDOUST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

AZADEH

Last Name

NAMAKYDOUST

Business Name

AZADEH NAMAKYDOUST MD

Original Issue Date

09/08/2011

Effective Date

09/08/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014