ALIREZA KOUROSH ANISSIPOUR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056754

License Status

CANCELLED

Business

Title

First Name

ALIREZA

Middle

KOUROSH

Last Name

ANISSIPOUR

Business Name

ALIREZA KOUROSH ANISSIPOUR DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/29/2009