MANOUCHEHR IMANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044874

License Status

NOT RENEWED

Business

First Name

MANOUCHEHR

Last Name

IMANI

Suffix

Business Name

MANOUCHEHR IMANI MD

Original Issue Date

10/08/1971

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017