SUSAN YAZDANMEHR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050170

License Status

CANCELLED

Business

First Name

SUSAN

Last Name

YAZDANMEHR

Suffix

Business Name

SUSAN YAZDANMEHR MD

BusinessDBA

OPT PROPERTY LLC

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006