KATHY RAVANBAKHSH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039657

License Status

EXPIRED

Business

First Name

KATHY

Last Name

RAVANBAKHSH

Suffix

Business Name

KATHY RAVANBAKHSH DO

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006