FARHOUD KHOSRAVI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

FARHOUD

Last Name

KHOSRAVI

Business Name

FARHOUD KHOSRAVI DO

Original Issue Date

07/11/2011

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014