HOSSEINALI JAFARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062505

License Status

CANCELLED

Business

Title

First Name

HOSSEINALI

Last Name

JAFARI

Business Name

HOSSEINALI JAFARI MD

Original Issue Date

11/19/2012

Effective Date

11/19/2012

Expiration Date

11/18/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Surgical Oncology

Ever Disciplined

LastModifiedDate

03/24/2014