HOSHANG M IRANI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

INOPERATIVE

Business

First Name

HOSHANG

Middle

Last Name

IRANI

Business Name

HOSHANG M IRANI

Original Issue Date

03/15/2007

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/18/2019