SHAHRIAR BOZORGZADEH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096984

License Status

NOT RENEWED

Business

First Name

SHAHRIAR

Last Name

BOZORGZADEH

Business Name

SHAHRIAR BOZORGZADEH

Original Issue Date

11/13/1997

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021