ELHAM KELLERSHABROKH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056782

License Status

CANCELLED

Business

Title

First Name

ELHAM

Last Name

KELLERSHABROKH

Business Name

ELHAM KELLERSHABROKH DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/23/2012