SAMINE RAVANBAKHSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

SAMINE

Last Name

RAVANBAKHSH

Business Name

SAMINE RAVANBAKHSH MD

Original Issue Date

07/13/2017

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

LOS ANGELES

State

Zip

90027

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021