SIMON BOOSTANFAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050679

License Status

INACTIVE

Business

First Name

SIMON

Last Name

BOOSTANFAR

Suffix

Business Name

SIMON BOOSTANFAR MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

Expiration Date

07/31/1987

City

WESTLAKE VILLAGE

State

Zip

91361

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006