MARDJAN FOROUTAN MD
Temporary Medical Permit
Illinois 125043807 Canceled
This Illinois license was held by MARDJAN FOROUTAN MD. The license is no longer active. It was granted on 10/18/2001 and expired on 10/17/2004
LICENSE DETAILS
- License Number: 125043807
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 10/18/2001 (over 22 years ago)
- Expiry Date: 10/17/2004 (over 19 years ago)
LOCATIONS
A Address
SYCAMORE, IL 60178