OMID KOHANNIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164889

License Status

ACTIVE

Business

Title

First Name

OMID

Last Name

KOHANNIM

Business Name

OMID KOHANNIM MD

Original Issue Date

05/31/2023

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92130

Ever Disciplined

LastModifiedDate

05/10/2023