BAHRAM TADAYYON 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

BAHRAM

Last Name

TADAYYON

Suffix

Business Name

BAHRAM TADAYYON MD

Original Issue Date

05/13/1987

Effective Date

05/13/1987

Expiration Date

07/31/1990

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006