ALIREZA GHOTB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128609

License Status

NOT RENEWED

Business

First Name

ALIREZA

Last Name

GHOTB

Suffix

Business Name

ALIREZA GHOTB MD

Original Issue Date

07/25/2011

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014