EHSAN GHODS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109237

License Status

NOT RENEWED

Business

First Name

EHSAN

Last Name

GHODS

Suffix

Business Name

EHSAN GHODS DO

Original Issue Date

05/14/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/06/2008