ALI MAHDAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141038

License Status

NOT RENEWED

Business

Title

First Name

ALI

Last Name

MAHDAVI

Business Name

ALI MAHDAVI MD

Original Issue Date

06/23/2016

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021