SAMAD BASHIRUDDIN FAROOQI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070511

License Status

EXPIRED

Business

Title

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

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

11/19/2020