LARISSA KADAR GHADIALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

LARISSA

Middle

KADAR

Last Name

GHADIALI

Business Name

LARISSA KADAR GHADIALI MD

Original Issue Date

09/20/2017

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023