ANUSHIRAVAN DADGAR-DEHKORDI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

ANUSHIRAVAN

Last Name

DADGAR-DEHKORDI

Suffix

Business Name

ANUSHIRAVAN DADGAR-DEHKORDI DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006