SHAHROKH POORMEHR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025578

License Status

EXPIRED

Business

First Name

SHAHROKH

Last Name

POORMEHR

Business Name

SHAHROKH POORMEHR

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/30/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006