HASSAN TAVAKKOLI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024177

License Status

EXPIRED

Business

First Name

HASSAN

Last Name

TAVAKKOLI

Suffix

Business Name

HASSAN TAVAKKOLI DO

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006