ROBERT BEHROOZ LAJVARDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

BEHROOZ

Last Name

LAJVARDI

Suffix

Business Name

ROBERT BEHROOZ LAJVARDI MD

Original Issue Date

02/19/2004

Effective Date

02/19/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006