ABUTALEB A EJAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ABUTALEB A

Last Name

EJAZ

Suffix

Business Name

ABUTALEB A EJAZ MD

Original Issue Date

03/24/1993

Effective Date

03/24/1993

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006