MARK DERIAN BARSAMIAN DO - Medical Doctor License in Illinois | # 125047344

MARK DERIAN BARSAMIAN DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047344

License Status

EXPIRED

Business

N

First Name

MARK

Middle

DERIAN

Last Name

BARSAMIAN

Suffix

DO

Business Name

MARK DERIAN BARSAMIAN DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

07/03/2007