FAROOQ M DADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114865

License Status

NOT RENEWED

Business

First Name

FAROOQ

Middle

Last Name

DADA

Suffix

Business Name

FAROOQ M DADA MD

Original Issue Date

11/14/2005

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

WEST HARTFORD

State

Zip

06117

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/17/2014