NADER MAHMOUDI TEHRANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064955

License Status

CANCELLED

Business

Title

First Name

NADER

Middle

MAHMOUDI

Last Name

TEHRANI

Business Name

NADER MAHMOUDI TEHRANI MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/17/2017