NICOLA FARIS AZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

NICOLA

Middle

FARIS

Last Name

AZAR

Suffix

Business Name

NICOLA FARIS AZAR MD

Original Issue Date

08/15/2008

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017