MINA AKHAVAN FARAHANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

MINA

Middle

AKHAVAN

Last Name

FARAHANI

Business Name

MINA AKHAVAN FARAHANI MD

Original Issue Date

07/13/2017

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

01/14/2021