SHIRIN MAJDIZADEH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062446

License Status

CANCELLED

Business

Title

First Name

SHIRIN

Last Name

MAJDIZADEH

Business Name

SHIRIN MAJDIZADEH MD

Original Issue Date

07/13/2012

Effective Date

07/13/2012

Expiration Date

07/12/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014