SIMON BOOSTANFAR MD - Medical Doctor License in California | # 036050679

SIMON BOOSTANFAR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050679

License Status

INACTIVE

Business

N

First Name

SIMON

Last Name

BOOSTANFAR

Suffix

MD

Business Name

SIMON BOOSTANFAR MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006