KOUROSH MASTALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102061

License Status

NOT RENEWED

Business

First Name

KOUROSH

Last Name

MASTALI

Suffix

Business Name

KOUROSH MASTALI MD

Original Issue Date

03/02/2000

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

BERKELEY

State

Zip

94705

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014