SHAHRAM PARSA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000495

License Status

EXPIRED

Business

First Name

SHAHRAM

Last Name

PARSA

Suffix

Business Name

SHAHRAM PARSA MD

Original Issue Date

10/03/2000

Effective Date

10/03/2000

Expiration Date

10/30/2000

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006