BEJAN J FAKOURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

BEJAN

Middle

Last Name

FAKOURI

Suffix

Business Name

BEJAN J FAKOURI MD

Original Issue Date

03/04/1999

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023