AFSHIN HEIDARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071509

License Status

CANCELLED

Business

Title

First Name

AFSHIN

Last Name

HEIDARI

Business Name

AFSHIN HEIDARI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/27/2020