HASSAN EGHBALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052303

License Status

NOT RENEWED

Business

First Name

HASSAN

Last Name

EGHBALI

Suffix

Business Name

HASSAN EGHBALI MD

Original Issue Date

01/16/1976

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

WHITEFISH BAY

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017