MAMOON ARIF RAZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

MAMOON

Middle

ARIF

Last Name

RAZA

Business Name

MAMOON ARIF RAZA

Original Issue Date

12/18/2002

Effective Date

12/18/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006