CARMEN TINA KHORRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

CARMEN

Middle

TINA

Last Name

KHORRAM

Business Name

CARMEN TINA KHORRAM MD

Original Issue Date

08/09/2017

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

GAINESVILLE

State

Zip

32609

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021