KASSRA MICHAEL KHAZALPOUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001012

License Status

CANCELLED

Business

Title

First Name

KASSRA

Middle

MICHAEL

Last Name

KHAZALPOUR

Business Name

KASSRA MICHAEL KHAZALPOUR MD

Original Issue Date

09/22/2014

Effective Date

09/22/2014

Expiration Date

10/21/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Sports Medicine (Emergency Medicine)

Ever Disciplined

LastModifiedDate

03/13/2015