JALAL FATEMI-BOUSHEHRI - Medical Doctor License in Missouri | # 036046620

JALAL FATEMI-BOUSHEHRI

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046620

License Status

NOT RENEWED

Business

N

First Name

JALAL

Last Name

FATEMI-BOUSHEHRI

Business Name

JALAL FATEMI-BOUSHEHRI

Original Issue Date

11/16/1972

Effective Date

11/16/1972

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006