ALI R SEPAHDARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

CANCELLED

Business

Title

First Name

ALI

Middle

Last Name

SEPAHDARI

Business Name

ALI R SEPAHDARI MD

Original Issue Date

05/04/2007

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/07/2011