HASSAN TAVAKKOLI DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084661

License Status

INACTIVE

Business

First Name

HASSAN

Last Name

TAVAKKOLI

Suffix

Business Name

HASSAN TAVAKKOLI DO

Original Issue Date

06/29/1992

Effective Date

06/29/1992

Expiration Date

07/31/1993

City

LAUDERDALE LAKES

State

Zip

33313

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006