FAREED TABATABAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090433

License Status

ACTIVE

Business

First Name

FAREED

Last Name

TABATABAI

Suffix

Business Name

FAREED TABATABAI MD

Original Issue Date

03/29/1995

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/05/2023