THOMAS MAHYAR MOSHIRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

MAHYAR

Last Name

MOSHIRI

Suffix

Business Name

THOMAS MAHYAR MOSHIRI MD

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006