BAHRAM KHOSROVANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

BAHRAM

Last Name

KHOSROVANI

Suffix

Business Name

BAHRAM KHOSROVANI MD

Original Issue Date

05/06/1988

Effective Date

05/06/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006