BEHFAR DIANATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

BEHFAR

Last Name

DIANATI

Business Name

BEHFAR DIANATI MD

Original Issue Date

08/12/2009

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023