FARDAD FOROUZANPOUR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091170

License Status

NOT RENEWED

Business

First Name

FARDAD

Last Name

FOROUZANPOUR

Suffix

Business Name

FARDAD FOROUZANPOUR DO

Original Issue Date

07/03/1995

Effective Date

07/03/1995

Expiration Date

07/31/2002

City

BEVERLY HILLS

State

Zip

90211

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006