AUDREY KATHRYN FOTOUHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169936

License Status

ACTIVE

Business

Title

First Name

AUDREY

Middle

KATHRYN

Last Name

FOTOUHI

Business Name

AUDREY KATHRYN FOTOUHI MD

Original Issue Date

04/19/2024

Effective Date

04/19/2024

Expiration Date

07/31/2026

City

BLOOMFIELD HILLS

State

Zip

48302

Ever Disciplined

LastModifiedDate

03/19/2024