SHAYAN KHAZAEI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

SHAYAN

Last Name

KHAZAEI

Business Name

SHAYAN KHAZAEI MD

Original Issue Date

11/05/2019

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023