SID HOSSEIN SIAHPUSH MD - Medical Doctor License in Illinois | # 125051721

SID HOSSEIN SIAHPUSH MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051721

License Status

CANCELLED

Business

N

First Name

SID

Middle

HOSSEIN

Last Name

SIAHPUSH

Suffix

MD

Business Name

SID HOSSEIN SIAHPUSH MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006