KENNY BOZORGI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027733

License Status

EXPIRED

Business

First Name

KENNY

Last Name

BOZORGI

Business Name

KENNY BOZORGI

Original Issue Date

04/24/1992

Effective Date

04/24/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006