MANI MAHDAVIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

MANI

Last Name

MAHDAVIAN

Suffix

Business Name

MANI MAHDAVIAN MD

Original Issue Date

05/08/1997

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023