KOUROSH MOAZEMI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038903

License Status

EXPIRED

Business

First Name

KOUROSH

Last Name

MOAZEMI

Business Name

KOUROSH MOAZEMI

Original Issue Date

02/02/1999

Effective Date

02/02/1999

Expiration Date

02/01/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/12/2007