MITCHELL A FARAG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065925

License Status

CANCELLED

Business

Title

First Name

MITCHELL

Middle

Last Name

FARAG

Business Name

MITCHELL A FARAG MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/19/2017