GHODRATOLLAH SARRAFI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048411

License Status

NOT RENEWED

Business

First Name

GHODRATOLLAH

Last Name

SARRAFI

Suffix

Business Name

GHODRATOLLAH SARRAFI MD

Original Issue Date

10/06/1973

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2018005781

Action

Suspension

Discipline Start Date

08/24/2018

Discipline End Date

09/05/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/06/2018.