ALIREZA GHAMGOSAR DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

License Status

CANCELLED

Business

First Name

ALIREZA

Last Name

GHAMGOSAR

Suffix

DPM

Business Name

ALIREZA GHAMGOSAR DPM

Original Issue Date

08/16/2002

Effective Date

08/16/2002

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006