FAROUK A ABDUL-RAHIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

FAROUK A

Last Name

ABDUL-RAHIM

Business Name

FAROUK A ABDUL-RAHIM

Original Issue Date

10/20/1995

Effective Date

10/20/1995

Expiration Date

07/31/2008

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008