CHRISTIE L RAZAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139120

License Status

NOT RENEWED

Business

Title

First Name

CHRISTIE

Middle

Last Name

RAZAVI

Business Name

CHRISTIE L RAZAVI MD

Original Issue Date

09/17/2015

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021