MARYAM KHERAD PEZHOUH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142663

License Status

NOT RENEWED

Business

Title

First Name

MARYAM

Middle

KHERAD

Last Name

PEZHOUH

Business Name

MARYAM KHERAD PEZHOUH MD

Original Issue Date

03/13/2017

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023