AMIR BASTAWROUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

AMIR

Last Name

BASTAWROUS

Suffix

Business Name

AMIR BASTAWROUS MD

Original Issue Date

01/23/2002

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III V

Ever Disciplined

LastModifiedDate

04/05/2020