GILDA DJABARZADE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073531

License Status

EXPIRED

Business

First Name

GILDA

Last Name

DJABARZADE

Business Name

GILDA DJABARZADE

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022