FARDAD FOROUZANPOUR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028369

License Status

EXPIRED

Business

First Name

FARDAD

Last Name

FOROUZANPOUR

Suffix

Business Name

FARDAD FOROUZANPOUR DO

Original Issue Date

05/27/1992

Effective Date

05/27/1992

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006