NOUSHIN IZADIFAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

NOUSHIN

Last Name

IZADIFAR

Suffix

Business Name

NOUSHIN IZADIFAR MD

Original Issue Date

02/02/2000

Effective Date

10/26/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020