SOROUSH MOHANDESSI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

CANCELLED

Business

First Name

SOROUSH

Last Name

MOHANDESSI

Suffix

Business Name

SOROUSH MOHANDESSI MD

Original Issue Date

08/04/2006

Effective Date

08/04/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008