ELI JUSTIN FOROUZAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083640

License Status

ACTIVE

Business

Title

First Name

ELI

Middle

JUSTIN

Last Name

FOROUZAN

Business Name

ELI JUSTIN FOROUZAN DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/23/2025