EBRAHIM GHODSIZADEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085607

License Status

NOT RENEWED

Business

First Name

EBRAHIM

Last Name

GHODSIZADEH

Suffix

Business Name

EBRAHIM GHODSIZADEH MD

Original Issue Date

11/10/1992

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017