FREDERICK STEVEN FANAPOUR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027799

License Status

EXPIRED

Business

First Name

FREDERICK STEVEN

Last Name

FANAPOUR

Suffix

Business Name

FREDERICK STEVEN FANAPOUR MD

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006