AMIR M RAFIDIA MD Medical Doctor License verification

AMIR M RAFIDIA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074271

License Status

EXPIRED

Business

Title

First Name

AMIR

Middle

Last Name

RAFIDIA

Prefix

Business Name

AMIR M RAFIDIA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022

Case Number

2021003944

Action

Refuse To Renew

Discipline Start Date

05/31/2022

Discipline Reason

temporary medical permit is placed in refuse to renew status due to Respondent having been terminated from a residency program and for failing to respond to Department requests for information.