BRIAN JON KEYASHIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058017

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

JON

Last Name

KEYASHIAN

Business Name

BRIAN JON KEYASHIAN MD

Original Issue Date

06/14/2010

Effective Date

06/14/2010

Expiration Date

06/13/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2013