SEYED MOHSEN SHARIFI TAKIEH 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

SEYED MOHSEN

Last Name

SHARIFI TAKIEH

Business Name

SEYED MOHSEN SHARIFI TAKIEH

Original Issue Date

06/01/1993

Effective Date

06/01/1993

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006