ATA MOTAMEDI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031598

License Status

EXPIRED

Business

First Name

ATA

Last Name

MOTAMEDI

Business Name

ATA MOTAMEDI

Original Issue Date

05/27/1994

Effective Date

05/27/1994

Expiration Date

06/20/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006