REZA SAM BORHANI DO - Medical Doctor License in Illinois | # 036108035

REZA SAM BORHANI DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108035

License Status

NOT RENEWED

Business

N

First Name

REZA

Middle

SAM

Last Name

BORHANI

Suffix

DO

Business Name

REZA SAM BORHANI DO

Original Issue Date

10/17/2002

Effective Date

10/17/2002

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006