SUSAN MARIA RAHIMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIA

Last Name

RAHIMI

Suffix

Business Name

SUSAN MARIA RAHIMI MD

Original Issue Date

07/21/2010

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017