RAVAND SAM KHAZAI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064469

License Status

EXPIRED

Business

Title

First Name

RAVAND

Middle

SAM

Last Name

KHAZAI

Business Name

RAVAND SAM KHAZAI MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/02/2019