ROA MAZEN QATO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ROA

Middle

MAZEN

Last Name

QATO

Suffix

Business Name

ROA MAZEN QATO MD

Original Issue Date

08/05/2010

Effective Date

08/05/2010

Expiration Date

07/31/2011

City

ORLAND HILLS

State

Zip

60487

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011