GHOLSHAHR GHADARGHADR Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076778

License Status

INACTIVE

Business

First Name

GHOLSHAHR

Last Name

GHADARGHADR

Business Name

GHOLSHAHR GHADARGHADR

Original Issue Date

03/12/1988

Effective Date

03/12/1988

Expiration Date

07/31/1993

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006