C MOHAZZEBI MD - Medical Doctor License in New Jersey | # 036051719

C MOHAZZEBI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051719

License Status

NOT RENEWED

Business

N

First Name

C

Last Name

MOHAZZEBI

Suffix

MD

Business Name

C MOHAZZEBI MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

State

NJ

Ever Disciplined

N

LastModifiedDate

09/20/2006