ALI MAHDAVI MD - Medical Doctor License in Wisconsin | # 036141038

ALI MAHDAVI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141038

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ALI

Last Name

MAHDAVI

Business Name

ALI MAHDAVI MD

Original Issue Date

06/23/2016

Effective Date

07/14/2017

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021