BAHRAM FOROUZANDEH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029111

License Status

EXPIRED

Business

First Name

BAHRAM

Last Name

FOROUZANDEH

Suffix

Business Name

BAHRAM FOROUZANDEH MD

Original Issue Date

08/17/1992

Effective Date

08/17/1992

Expiration Date

08/13/1995

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006