FERIDOUN BEROUKHIM MD - Medical Doctor License in Wisconsin | # 036046836

FERIDOUN BEROUKHIM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046836

License Status

NOT RENEWED

Business

N

First Name

FERIDOUN

Last Name

BEROUKHIM

Suffix

MD

Business Name

FERIDOUN BEROUKHIM MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006