KIANOOSH RADSAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042238

License Status

NOT RENEWED

Business

First Name

KIANOOSH

Last Name

RADSAN

Suffix

Business Name

KIANOOSH RADSAN MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

City

ALLEN PARK

State

Zip

48101

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006