REZA SAM BORHANI DO - Medical Doctor License in Illinois | # 125040949

REZA SAM BORHANI DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040949

License Status

EXPIRED

Business

N

First Name

REZA

Middle

SAM

Last Name

BORHANI

Suffix

DO

Business Name

REZA SAM BORHANI DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006