DAVID BEHNAM KHATAMI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059524

License Status

EXPIRED

Business

First Name

DAVID

Middle

BEHNAM

Last Name

KHATAMI

Suffix

Business Name

DAVID BEHNAM KHATAMI MD

Original Issue Date

06/13/2011

Effective Date

06/13/2011

Expiration Date

06/12/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012