POURAN IMANI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044875

License Status

INACTIVE

Business

First Name

POURAN

Last Name

IMANI

Suffix

Business Name

POURAN IMANI MD

Original Issue Date

10/08/1971

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014