EZATOLAH REZVANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044648

License Status

NOT RENEWED

Business

First Name

EZATOLAH

Last Name

REZVANI

Suffix

Business Name

EZATOLAH REZVANI MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

City

ANACORTES

State

Zip

98221

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006