AMIR HOSSAIN FAYYAZI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

AMIR

Middle

HOSSAIN

Last Name

FAYYAZI

Suffix

Business Name

AMIR HOSSAIN FAYYAZI MD

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006