MAHMOUD ZIAEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MAHMOUD

Last Name

ZIAEE

Suffix

Business Name

MAHMOUD ZIAEE MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1990

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017