KOOROSH BANAYAN MD - Medical Doctor License in Illinois | # 125015110

KOOROSH BANAYAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015110

License Status

EXPIRED

Business

N

First Name

KOOROSH

Last Name

BANAYAN

Suffix

MD

Business Name

KOOROSH BANAYAN MD

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

01/01/1985

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006