FAHHAD IMTIAZ FARUKHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

FAHHAD

Middle

IMTIAZ

Last Name

FARUKHI

Business Name

FAHHAD IMTIAZ FARUKHI MD

Original Issue Date

04/09/2012

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2024