MEHDI KHOSRAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109687

License Status

NOT RENEWED

Business

First Name

MEHDI

Last Name

KHOSRAVI

Suffix

Business Name

MEHDI KHOSRAVI MD

Original Issue Date

07/11/2003

Effective Date

07/11/2003

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006