BAHRAM FOROUZANDEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089506

License Status

NOT RENEWED

Business

First Name

BAHRAM

Last Name

FOROUZANDEH

Suffix

Business Name

BAHRAM FOROUZANDEH MD

Original Issue Date

08/23/1994

Effective Date

08/23/1994

Expiration Date

07/31/1999

City

LOUISVILLE

State

Zip

40207

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006