ARDESHIR MEDHAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048769

License Status

INACTIVE

Business

First Name

ARDESHIR

Last Name

MEDHAT

Suffix

Business Name

ARDESHIR MEDHAT MD

Original Issue Date

02/05/1974

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011