MAHDIESADAT SEYED ALIROTEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

MAHDIESADAT

Last Name

SEYED ALIROTEH

Business Name

MAHDIESADAT SEYED ALIROTEH MD

Original Issue Date

06/01/2012

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017