EBRAHIM AMIR-MOKRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

EBRAHIM

Last Name

AMIR-MOKRI

Suffix

Business Name

EBRAHIM AMIR-MOKRI MD

Original Issue Date

05/06/1988

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014