MARDJAN FOROUTAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110360

License Status

ACTIVE

Business

First Name

MARDJAN

Last Name

FOROUTAN

Suffix

Business Name

MARDJAN FOROUTAN MD

Original Issue Date

10/27/2003

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

04/16/2025