NADER REZVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042990

License Status

NOT RENEWED

Business

First Name

NADER

Last Name

REZVAN

Suffix

Business Name

NADER REZVAN MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006