MIGUEL J FAROLAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021292

License Status

EXPIRED

Business

First Name

MIGUEL J

Last Name

FAROLAN

Suffix

Business Name

MIGUEL J FAROLAN MD

Original Issue Date

06/12/1987

Effective Date

06/12/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006