CARL A DEIRMENGIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

DEIRMENGIAN

Suffix

Business Name

CARL A DEIRMENGIAN MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008