SAMADH FIROOZ RAVANGARD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

SAMADH

Middle

FIROOZ

Last Name

RAVANGARD

Business Name

SAMADH FIROOZ RAVANGARD DO

Original Issue Date

06/05/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023