MEHDI KHOSRAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MEHDI

Last Name

KHOSRAVI

Suffix

Business Name

MEHDI KHOSRAVI MD

Original Issue Date

07/11/2003

Effective Date

07/11/2003

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006