FARHAD SHAHANDEH-RAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

FARHAD

Last Name

SHAHANDEH-RAD

Business Name

FARHAD SHAHANDEH-RAD

Original Issue Date

11/21/1995

Effective Date

11/21/1995

Expiration Date

07/31/1996

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006