MEHDI S MIRSAEIDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MEHDI

Middle

Last Name

MIRSAEIDI

Suffix

Business Name

MEHDI S MIRSAEIDI MD

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/12/2017