NASROLLAH AHMADPOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

NASROLLAH

Last Name

AHMADPOUR

Business Name

NASROLLAH AHMADPOUR MD

Original Issue Date

04/19/2018

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021