RAFI THOMAS KEVORKIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

RAFI

Middle

THOMAS

Last Name

KEVORKIAN

Suffix

Business Name

RAFI THOMAS KEVORKIAN MD

Original Issue Date

04/19/1999

Effective Date

04/19/1999

Expiration Date

07/31/2005

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006