SABRINA C FANAPOUR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057629

License Status

CANCELLED

Business

Title

First Name

SABRINA

Middle

Last Name

FANAPOUR

Business Name

SABRINA C FANAPOUR DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

NORTH RIVERSIDE

State

Zip

60546

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2010