BIJAN JUSTIN GHASSEMIEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130770

License Status

NOT RENEWED

Business

Title

First Name

BIJAN

Middle

JUSTIN

Last Name

GHASSEMIEH

Business Name

BIJAN JUSTIN GHASSEMIEH MD

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014