KIANOUSH SHEYKHOLESLAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

KIANOUSH

Last Name

SHEYKHOLESLAMI

Business Name

KIANOUSH SHEYKHOLESLAMI MD

Original Issue Date

08/06/2009

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021