AMIRHASSAN BAHREMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

AMIRHASSAN

Last Name

BAHREMAN

Suffix

Business Name

AMIRHASSAN BAHREMAN MD

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006