REBEKAH A RADMANESH 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

First Name

REBEKAH

Middle

Last Name

RADMANESH

Suffix

Business Name

REBEKAH A RADMANESH MD

Original Issue Date

04/18/2001

Effective Date

04/18/2001

Expiration Date

07/31/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006