NINA W KHAZEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

NINA

Middle

Last Name

KHAZEN

Business Name

NINA W KHAZEN

Original Issue Date

07/06/2001

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014