SHAGHAYEGH ESFANDNIA MD 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

SHAGHAYEGH

Last Name

ESFANDNIA

Business Name

SHAGHAYEGH ESFANDNIA MD

Original Issue Date

01/20/2022

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023