MOHTARAM MASOOD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030333

License Status

EXPIRED

Business

First Name

MOHTARAM

Last Name

MASOOD

Business Name

MOHTARAM MASOOD

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

06/30/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006