SAMINEH KHOSROWSHAHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

SAMINEH

Last Name

KHOSROWSHAHI

Suffix

Business Name

SAMINEH KHOSROWSHAHI MD

Original Issue Date

05/18/2005

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021