SHADI DAMANPOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151759

License Status

NOT RENEWED

Business

Title

First Name

SHADI

Last Name

DAMANPOUR

Business Name

SHADI DAMANPOUR MD

Original Issue Date

02/06/2020

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023