SHAZIA A MALIK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

SHAZIA

Middle

Last Name

MALIK

Business Name

SHAZIA A MALIK

Original Issue Date

05/19/2003

Effective Date

05/19/2003

Expiration Date

07/31/2005

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006