FARIBORZ MORTAZAVI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107982

License Status

INACTIVE

Business

First Name

FARIBORZ

Last Name

MORTAZAVI

Suffix

Business Name

FARIBORZ MORTAZAVI MD

Original Issue Date

10/08/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LOS ANGELES

State

Zip

90073

Ever Disciplined

LastModifiedDate

07/09/2008