SID HOSSEIN SIAHPUSH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122326

License Status

INACTIVE

Business

First Name

SID

Middle

HOSSEIN

Last Name

SIAHPUSH

Suffix

Business Name

SID HOSSEIN SIAHPUSH MD

Original Issue Date

12/11/2008

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2017