SEPER DEZFOLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

SEPER

Last Name

DEZFOLI

Business Name

SEPER DEZFOLI MD

Original Issue Date

04/01/2024

Effective Date

04/01/2024

Expiration Date

07/31/2026

City

LOS ANGELES

State

Zip

90024

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/01/2024