ABOLGHASSEM HOSSAINI-MAZHARI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

ABOLGHASSEM

Last Name

HOSSAINI-MAZHARI

Business Name

ABOLGHASSEM HOSSAINI-MAZHARI

Original Issue Date

01/05/1989

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011