FOROUGH SADAT GHAVAMI SHIREHJINI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

FOROUGH

Middle

SADAT

Last Name

GHAVAMI SHIREHJINI

Business Name

FOROUGH SADAT GHAVAMI SHIREHJINI DO

Original Issue Date

10/03/2017

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

21044

County

MARYLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023