KOOROSH BANAYAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015110

License Status

EXPIRED

Business

First Name

KOOROSH

Last Name

BANAYAN

Suffix

Business Name

KOOROSH BANAYAN MD

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

01/01/1985

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006