MOHAMMAD EBRAHIM DEHGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MOHAMMAD EBRAHIM

Last Name

DEHGAN

Suffix

Business Name

MOHAMMAD EBRAHIM DEHGAN MD

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/1993

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006