SAMAD BASHIRUDDIN FAROOQI DO - Medical Doctor License in Illinois | # 125070511

SAMAD BASHIRUDDIN FAROOQI DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070511

License Status

EXPIRED

Business

N

Title

DO

First Name

SAMAD

Middle

BASHIRUDDIN

Last Name

FAROOQI

Business Name

SAMAD BASHIRUDDIN FAROOQI DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

N

LastModifiedDate

11/19/2020