ATA MOTAMEDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093679

License Status

NOT RENEWED

Business

First Name

ATA

Last Name

MOTAMEDI

Business Name

ATA MOTAMEDI

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/1999

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006