SARAH S KHODADADEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127798

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

KHODADADEH

Suffix

Business Name

SARAH S KHODADADEH MD

Original Issue Date

05/05/2011

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014