M TAGHI GHAVAMIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039001

License Status

NOT RENEWED

Business

First Name

M TAGHI

Last Name

GHAVAMIAN

Suffix

Business Name

M TAGHI GHAVAMIAN MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006