STEPHEN FARAZ SHAFIZADEH MD 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

Title

First Name

STEPHEN

Middle

FARAZ

Last Name

SHAFIZADEH

Business Name

STEPHEN FARAZ SHAFIZADEH MD

Original Issue Date

01/25/2012

Effective Date

01/25/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014