MORTEZA G MASHKOURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065872

License Status

NOT RENEWED

Business

First Name

MORTEZA G

Last Name

MASHKOURI

Suffix

Business Name

MORTEZA G MASHKOURI MD

Original Issue Date

12/22/1982

Effective Date

12/22/1982

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006