MAHBOOBEH MAHDAVINIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

MAHBOOBEH

Last Name

MAHDAVINIA

Suffix

Business Name

MAHBOOBEH MAHDAVINIA MD

Original Issue Date

04/05/2011

Effective Date

04/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021