DESIREE MADELYN DIZADJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099843

License Status

NOT RENEWED

Business

First Name

DESIREE

Middle

MADELYN

Last Name

DIZADJI

Suffix

Business Name

DESIREE MADELYN DIZADJI MD

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

07/31/2005

City

RACINE

State

Zip

53408

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006