AMIR HESSAM BAHREMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049582

License Status

EXPIRED

Business

First Name

AMIR

Middle

HESSAM

Last Name

BAHREMAN

Suffix

Business Name

AMIR HESSAM BAHREMAN MD

Original Issue Date

06/25/2005

Effective Date

06/25/2005

Expiration Date

06/24/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008