MINA OFTADEH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058060

License Status

CANCELLED

Business

Title

First Name

MINA

Last Name

OFTADEH

Business Name

MINA OFTADEH DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014