Medical Board of California
Licensing details for: PTL 8092
Name: Fozouni, Laila
License Type: Postgraduate Training License
Primary Status: License Canceled

School Name: University of California San Francisco School of Medicine
Graduation Year: 2021
Current Enrolled Postgraduate Training Program
Facility Name: UNIVERSITY OF CALIFORNIA (SAN FRANCISCO) PROGRAM
City: San Francisco
State: California
Speciality: Internal Medicine
Start Date: 06/21/2021
Anticipated End Date: 06/28/2024
Address of Record
505 Parnassus Ave
SAN FRANCISCO CA 94143-2204
SAN FRANCISCO county
Map
License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: Fozouni, Laila
License/Registration Type: Physician's and Surgeon's
License Number: 191580 Primary Status: Delinquent - License renewal fee has not been paid. No practice is permitted.
Address :
505 Parnassus Ave # M1480
SAN FRANCISCO CA 94143-2204
SAN FRANCISCO COUNTY
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: MALIK, ANEEQ IBRAHIM
License/Registration Type: Physician's and Surgeon's
License Number: 192471 Primary Status: License Renewed & Current
Address :
7096 Olive Grove St
RIVERSIDE CA 92507-1495
RIVERSIDE COUNTY



