MANDANA FAGHANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054453

License Status

CANCELLED

Business

Title

First Name

MANDANA

Last Name

FAGHANI

Business Name

MANDANA FAGHANI MD

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

06/16/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/22/2008