ISSA POUR-GHAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163430

License Status

ACTIVE

Business

Title

First Name

ISSA

Last Name

POUR-GHAZ

Business Name

ISSA POUR-GHAZ MD

Original Issue Date

01/18/2023

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/24/2023