TARA PIRYAEI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078294

License Status

CANCELLED

Business

Title

First Name

TARA

Last Name

PIRYAEI

Business Name

TARA PIRYAEI DO

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

06/27/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/15/2021