DESIREE MADELYN DIZADJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

DESIREE

Middle

MADELYN

Last Name

DIZADJI

Suffix

Business Name

DESIREE MADELYN DIZADJI MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

07/31/2005

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006