ALI KAVIANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

ALI

Last Name

KAVIANIAN

Business Name

ALI KAVIANIAN MD

Original Issue Date

04/24/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021