ATHER NIZAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

ATHER

Last Name

NIZAM

Suffix

Business Name

ATHER NIZAM MD

Original Issue Date

07/26/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020