MANDAN FARAHATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

MANDAN

Last Name

FARAHATI

Suffix

Business Name

MANDAN FARAHATI MD

Original Issue Date

01/01/1997

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023