FARHAD DANIEL HAYATGHAIB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068549

License Status

CANCELLED

Business

Title

First Name

FARHAD

Middle

DANIEL

Last Name

HAYATGHAIB

Business Name

FARHAD DANIEL HAYATGHAIB MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/23/2019