BIJAN AMIR DIBADJ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040900

License Status

INACTIVE

Business

First Name

BIJAN AMIR

Last Name

DIBADJ

Suffix

Business Name

BIJAN AMIR DIBADJ MD

Original Issue Date

02/16/1967

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/07/2011