KHOSRO ADIB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047753

License Status

NOT RENEWED

Business

First Name

KHOSRO

Last Name

ADIB

Suffix

Business Name

KHOSRO ADIB MD

Original Issue Date

08/23/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/06/2008