SHAGHAYEGH ESFANDNIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074670

License Status

CANCELLED

Business

Title

First Name

SHAGHAYEGH

Last Name

ESFANDNIA

Business Name

SHAGHAYEGH ESFANDNIA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2019