MERCEDEH MODIR SHANECHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066817

License Status

EXPIRED

Business

Title

First Name

MERCEDEH

Last Name

MODIR SHANECHI

Business Name

MERCEDEH MODIR SHANECHI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/02/2019