ATA SOLEIMANI RAHBAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

ATA

Last Name

SOLEIMANI RAHBAR

Business Name

ATA SOLEIMANI RAHBAR MD

Original Issue Date

06/14/2017

Effective Date

06/30/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023