SASSAN NADERI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

SASSAN

Last Name

NADERI

Business Name

SASSAN NADERI MD

Original Issue Date

04/01/2025

Effective Date

04/01/2025

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/01/2025