MANDAN FARAHATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044927

License Status

ACTIVE

Business

First Name

MANDAN

Last Name

FARAHATI

Suffix

Business Name

MANDAN FARAHATI MD

Original Issue Date

10/08/1971

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

04/15/2023