ARDESHIR MEDHAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

ARDESHIR

Last Name

MEDHAT

Suffix

Business Name

ARDESHIR MEDHAT MD

Original Issue Date

02/22/1988

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011