KHASHAYAR DASHTIPOUR - Medical Doctor License in Illinois | # 125043421

KHASHAYAR DASHTIPOUR

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043421

License Status

EXPIRED

Business

N

First Name

KHASHAYAR

Last Name

DASHTIPOUR

Business Name

KHASHAYAR DASHTIPOUR

Original Issue Date

06/26/2001

Effective Date

06/26/2001

Expiration Date

06/25/2004

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

09/22/2006