BRIAN REZA POUSTINCHIAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058545

License Status

EXPIRED

Business

First Name

BRIAN

Middle

REZA

Last Name

POUSTINCHIAN

Business Name

BRIAN REZA POUSTINCHIAN

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013