JOHN REZA EHTESHAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121872

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

REZA

Last Name

EHTESHAMI

Suffix

Business Name

JOHN REZA EHTESHAMI MD

Original Issue Date

08/28/2008

Effective Date

08/28/2008

Expiration Date

07/31/2011

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/14/2011