FARSHID PAYDAR-RAVANDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

FARSHID

Last Name

PAYDAR-RAVANDI

Business Name

FARSHID PAYDAR-RAVANDI

Original Issue Date

06/27/1995

Effective Date

06/27/1995

Expiration Date

07/31/1999

City

CENTRALIA

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006