MAZIAR OMIDI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036688

License Status

EXPIRED

Business

First Name

MAZIAR

Last Name

OMIDI

Business Name

MAZIAR OMIDI

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

06/29/2000

City

CHCIAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006