FREDERICK STEVEN FANAPOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089783

License Status

NOT RENEWED

Business

First Name

FREDERICK STEVEN

Last Name

FANAPOUR

Suffix

Business Name

FREDERICK STEVEN FANAPOUR MD

Original Issue Date

10/07/1994

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017