ANDREA MINA KHOSROPOUR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057197

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

MINA

Last Name

KHOSROPOUR

Business Name

ANDREA MINA KHOSROPOUR MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012