MOHAMMAD IMANDOUST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

CANCELLED

Business

First Name

MOHAMMAD

Last Name

IMANDOUST

Suffix

Business Name

MOHAMMAD IMANDOUST MD

Original Issue Date

09/09/1985

Effective Date

09/09/1985

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006