MANUCHER KHODADAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040283

License Status

ACTIVE

Business

First Name

MANUCHER

Last Name

KHODADAD

Suffix

Business Name

MANUCHER KHODADAD MD

Original Issue Date

05/23/1966

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

06/13/2023