BITA TABESH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102357

License Status

NOT RENEWED

Business

First Name

BITA

Last Name

TABESH

Business Name

BITA TABESH

Original Issue Date

04/24/2000

Effective Date

04/24/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006