SASAN RYAN RAISSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142506

License Status

NOT RENEWED

Business

Title

First Name

SASAN

Middle

RYAN

Last Name

RAISSI

Business Name

SASAN RYAN RAISSI MD

Original Issue Date

02/27/2017

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021