KASSRA MICHAEL KHAZALPOUR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067924

License Status

EXPIRED

Business

Title

First Name

KASSRA

Middle

MICHAEL

Last Name

KHAZALPOUR

Business Name

KASSRA MICHAEL KHAZALPOUR MD

Original Issue Date

11/01/2016

Effective Date

11/01/2016

Expiration Date

11/30/2016

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

10/05/2016