FARAH NAZ PATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110488

License Status

NOT RENEWED

Business

First Name

FARAH

Middle

NAZ

Last Name

PATHAN

Suffix

Business Name

FARAH NAZ PATHAN MD

Original Issue Date

11/24/2003

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017