MARIAM MOSHIRI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MARIAM

Last Name

MOSHIRI

Business Name

MARIAM MOSHIRI

Original Issue Date

04/11/2002

Effective Date

04/11/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006