FARAH NIDA IMAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141245

License Status

NOT RENEWED

Business

Title

First Name

FARAH

Middle

NIDA

Last Name

IMAM

Business Name

FARAH NIDA IMAM MD

Original Issue Date

07/18/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60467

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021