KAZEM FANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039396

License Status

NOT RENEWED

Business

First Name

KAZEM

Last Name

FANI

Suffix

Business Name

KAZEM FANI MD

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

07/31/1984

City

BROOKLYN

State

Zip

11209

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006