KOUROSH MASTALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

KOUROSH

Last Name

MASTALI

Suffix

Business Name

KOUROSH MASTALI MD

Original Issue Date

05/24/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011