MORTEZA AZIMIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

MORTEZA

Last Name

AZIMIAN

Suffix

Business Name

MORTEZA AZIMIAN MD

Original Issue Date

11/14/2008

Effective Date

11/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020