JAMES REZA FARROKNEJAD FERNANDEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139771

License Status

INACTIVE

Business

Title

First Name

JAMES REZA

Middle

FARROKNEJAD

Last Name

FERNANDEZ

Business Name

JAMES REZA FARROKNEJAD FERNANDEZ MD

Original Issue Date

02/16/2016

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/05/2020