MAHMOOD MAHDAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049577

License Status

NOT RENEWED

Business

First Name

MAHMOOD

Last Name

MAHDAVI

Suffix

Business Name

MAHMOOD MAHDAVI MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006