MORTEZA G MASHKOURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013732

License Status

EXPIRED

Business

First Name

MORTEZA G

Last Name

MASHKOURI

Suffix

Business Name

MORTEZA G MASHKOURI MD

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/23/1984

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006