SHAHRZAD FAKHRAEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080852

License Status

ACTIVE

Business

Title

First Name

SHAHRZAD

Last Name

FAKHRAEE

Business Name

SHAHRZAD FAKHRAEE MD

Original Issue Date

09/29/2025

Effective Date

09/29/2025

Expiration Date

09/28/2026

City

PEORIA

State

Zip

61605

County

CHAMPAIGN

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/29/2025