MOHAMMAD R EMAMI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

MOHAMMAD

Middle

Last Name

EMAMI

Business Name

MOHAMMAD R EMAMI

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

07/31/2005

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006