REZA DASHTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060727

License Status

EXPIRED

Business

First Name

REZA

Last Name

DASHTI

Suffix

Business Name

REZA DASHTI MD

Original Issue Date

08/04/2014

Effective Date

08/04/2014

Expiration Date

08/03/2015

City

STONY BROOK

State

Zip

11794

Specialty/Qualifier

Spine Surgery

Ever Disciplined

LastModifiedDate

07/24/2014