PHILIP CYRUS FANAPOUR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139602

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

CYRUS

Last Name

FANAPOUR

Business Name

PHILIP CYRUS FANAPOUR DO

Original Issue Date

01/14/2016

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023