SAMINEH KHOSROWSHAHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113474

License Status

NOT RENEWED

Business

First Name

SAMINEH

Last Name

KHOSROWSHAHI

Suffix

Business Name

SAMINEH KHOSROWSHAHI MD

Original Issue Date

04/18/2005

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021