MANDANA FAGHANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127750

License Status

NOT RENEWED

Business

Title

First Name

MANDANA

Last Name

FAGHANI

Business Name

MANDANA FAGHANI MD

Original Issue Date

05/02/2011

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017