MANSOOREH EGHTESAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137150

License Status

NOT RENEWED

Business

Title

First Name

MANSOOREH

Last Name

EGHTESAD

Business Name

MANSOOREH EGHTESAD MD

Original Issue Date

01/23/2015

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021