HUSSIEN MOHAMMED FARRAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

HUSSIEN

Middle

MOHAMMED

Last Name

FARRAG

Business Name

HUSSIEN MOHAMMED FARRAG MD

Original Issue Date

11/08/2017

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023