ADEL FAROUK FARAG MINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111050

License Status

ACTIVE

Business

First Name

ADEL

Middle

FAROUK FARAG

Last Name

MINA

Suffix

Business Name

ADEL FAROUK FARAG MINA MD

Original Issue Date

03/19/2004

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

06/15/2023