BRIAN JON KEYASHIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133131

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

JON

Last Name

KEYASHIAN

Business Name

BRIAN JON KEYASHIAN MD

Original Issue Date

06/03/2013

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017