ELHAM KELLERSHABROKH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132295

License Status

NOT RENEWED

Business

Title

First Name

ELHAM

Last Name

KELLERSHABROKH

Business Name

ELHAM KELLERSHABROKH DO

Original Issue Date

04/08/2013

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017