GHAZALA FARAH RAHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

GHAZALA

Middle

FARAH

Last Name

RAHMAN

Suffix

Business Name

GHAZALA FARAH RAHMAN MD

Original Issue Date

04/13/2017

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021