Shafagh Mottaghian Monazzam
Temporary Medical Doctor Permit
Indiana 99057355A Expired
This Indiana license was held by Shafagh Mottaghian Monazzam. The license is no longer active. It was granted on 05/30/2013 and expired on 08/30/2013
LICENSE DETAILS
- License Number: 99057355A
- Category: Temporary MD Permit
- Status: Expired
- Date Granted: 05/30/2013 (about 12 years ago)
- Expiry Date: 08/30/2013 (over 11 years ago)
LOCATIONS
A Address
Huntington Beach CA 92649