FARRAH NGUYEN FANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114332

License Status

NOT RENEWED

Business

First Name

FARRAH

Middle

NGUYEN

Last Name

FANG

Suffix

Business Name

FARRAH NGUYEN FANG MD

Original Issue Date

08/03/2005

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011