EBRAHIM GHODSIZADEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

EBRAHIM

Last Name

GHODSIZADEH

Suffix

Business Name

EBRAHIM GHODSIZADEH MD

Original Issue Date

03/23/1993

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017