PEGAH AFRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043444

License Status

EXPIRED

Business

First Name

PEGAH

Last Name

AFRA

Suffix

Business Name

PEGAH AFRA MD

Original Issue Date

06/26/2001

Effective Date

06/26/2001

Expiration Date

06/25/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006