SINA BAHMANYAR Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090289

License Status

INACTIVE

Business

First Name

SINA

Last Name

BAHMANYAR

Business Name

SINA BAHMANYAR

Original Issue Date

03/06/1995

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/24/2017