BEHROOZ HESHMATPOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

BEHROOZ

Last Name

HESHMATPOUR

Suffix

Business Name

BEHROOZ HESHMATPOUR MD

Original Issue Date

04/29/1982

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014