LISA MOJDEH KHODADADIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045412

License Status

EXPIRED

Business

First Name

LISA

Middle

MOJDEH

Last Name

KHODADADIAN

Suffix

Business Name

LISA MOJDEH KHODADADIAN MD

Original Issue Date

08/15/2002

Effective Date

08/15/2002

Expiration Date

08/14/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006