SID HOSSEIN SIAHPUSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

SID

Middle

HOSSEIN

Last Name

SIAHPUSH

Suffix

Business Name

SID HOSSEIN SIAHPUSH MD

Original Issue Date

12/12/2008

Effective Date

12/12/2008

Expiration Date

07/31/2011

City

STEVENS POINT

State

Zip

54481

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017