MARK A FARAG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058027

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

Last Name

FARAG

Business Name

MARK A FARAG MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

WOODRIDGE

State

Zip

60517

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/18/2010