SAM FATOOREHCHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

SAM

Last Name

FATOOREHCHI

Business Name

SAM FATOOREHCHI MD

Original Issue Date

08/22/2018

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

BURBANK

State

Zip

60459

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023