MORTEZA G MASHKOURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

MORTEZA G

Last Name

MASHKOURI

Suffix

Business Name

MORTEZA G MASHKOURI MD

Original Issue Date

01/06/1983

Effective Date

01/06/1983

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006