ALIREZA KOUROSH ANISSIPOUR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129120

License Status

NOT RENEWED

Business

Title

First Name

ALIREZA

Middle

KOUROSH

Last Name

ANISSIPOUR

Business Name

ALIREZA KOUROSH ANISSIPOUR DO

Original Issue Date

10/20/2011

Effective Date

10/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014