KHASHAYAR DASHTIPOUR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043421

License Status

EXPIRED

Business

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

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006