MARK R LAFTAVI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037247

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

LAFTAVI

Business Name

MARK R LAFTAVI

Original Issue Date

11/05/1997

Effective Date

11/05/1997

Expiration Date

11/04/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Transplantation Surgery

Ever Disciplined

LastModifiedDate

09/22/2006