REENA RIZVI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

REENA

Last Name

RIZVI

Business Name

REENA RIZVI

Original Issue Date

08/25/1997

Effective Date

08/25/1997

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006