FARHAD SHAHANDEH-RAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

FARHAD

Last Name

SHAHANDEH-RAD

Business Name

FARHAD SHAHANDEH-RAD

Original Issue Date

03/14/1996

Effective Date

03/14/1996

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006