SIMIN KHAVANDGAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

SIMIN

Last Name

KHAVANDGAR

Business Name

SIMIN KHAVANDGAR MD

Original Issue Date

08/31/2011

Effective Date

08/31/2011

Expiration Date

07/31/2014

City

CREST HILL

State

Zip

60403

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014