FAZL RAMSEY KHADEMI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082201

License Status

ACTIVE

Business

Title

First Name

FAZL

Middle

RAMSEY

Last Name

KHADEMI

Business Name

FAZL RAMSEY KHADEMI DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/29/2023