SASAN MAKIPOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148053

License Status

NOT RENEWED

Business

Title

First Name

SASAN

Last Name

MAKIPOUR

Business Name

SASAN MAKIPOUR MD

Original Issue Date

01/07/2019

Effective Date

08/25/2020

Expiration Date

07/31/2023

City

TACOMA

State

Zip

98402

Ever Disciplined

LastModifiedDate

11/30/2023