ANOUSHIRAVAN HAKIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

ANOUSHIRAVAN

Last Name

HAKIM

Business Name

ANOUSHIRAVAN HAKIM MD

Original Issue Date

02/07/2025

Effective Date

02/07/2025

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2025