ALI R SEPAHDARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047866

License Status

CANCELLED

Business

Title

First Name

ALI

Middle

Last Name

SEPAHDARI

Business Name

ALI R SEPAHDARI MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006