FERIDOUN BEROUKHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046836

License Status

NOT RENEWED

Business

First Name

FERIDOUN

Last Name

BEROUKHIM

Suffix

Business Name

FERIDOUN BEROUKHIM MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

MILWAUKEE

State

Zip

53259

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006