FARIDA IZZI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

FARIDA

Last Name

IZZI

Business Name

FARIDA IZZI MD

Original Issue Date

10/29/2022

Effective Date

10/29/2022

Expiration Date

07/31/2023

City

MOUNT VERNON

State

Zip

62864

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023