VIDA EHYAEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077929

License Status

CANCELLED

Business

Title

First Name

VIDA

Last Name

EHYAEE

Business Name

VIDA EHYAEE MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/08/2021