KHASHAYAR VOSOUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

KHASHAYAR

Last Name

VOSOUGH

Business Name

KHASHAYAR VOSOUGH MD

Original Issue Date

05/01/2017

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021