BEJAN J FAKOURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031288

License Status

EXPIRED

Business

First Name

BEJAN

Middle

Last Name

FAKOURI

Suffix

Business Name

BEJAN J FAKOURI MD

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006