MOHAMMAD REZA SHIRDEL GERDVISHEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147154

License Status

NOT RENEWED

Business

Title

First Name

MOHAMMAD REZA

Middle

SHIRDEL

Last Name

GERDVISHEH

Business Name

MOHAMMAD REZA SHIRDEL GERDVISHEH MD

Original Issue Date

08/09/2018

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

MONROE

State

Zip

53566

County

GREENE

Ever Disciplined

LastModifiedDate

11/30/2023