AMIR KOLAHDOUZ-ISFAHANI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

AMIR

Last Name

KOLAHDOUZ-ISFAHANI

Business Name

AMIR KOLAHDOUZ-ISFAHANI

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

07/31/2005

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006