ASHKON RAZAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138825

License Status

NOT RENEWED

Business

Title

First Name

ASHKON

Last Name

RAZAVI

Business Name

ASHKON RAZAVI MD

Original Issue Date

07/30/2015

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021