KAIZAD P TAMBOLI 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

First Name

KAIZAD P

Last Name

TAMBOLI

Business Name

KAIZAD P TAMBOLI

Original Issue Date

11/07/1988

Effective Date

11/07/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020