MANSOUR MIRFAKHRAEE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056677

License Status

NOT RENEWED

Business

First Name

MANSOUR

Last Name

MIRFAKHRAEE

Business Name

MANSOUR MIRFAKHRAEE

Original Issue Date

04/17/1978

Effective Date

08/28/2014

Expiration Date

07/31/2017

City

SHREVEPORT

State

Zip

71106

County

LOUISIANA

Ever Disciplined

LastModifiedDate

11/01/2017