KAIZAD P SHROFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

KAIZAD

Middle

Last Name

SHROFF

Suffix

Business Name

KAIZAD P SHROFF MD

Original Issue Date

10/20/2006

Effective Date

10/20/2006

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011