MARK A FARAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

FARAG

Business Name

MARK A FARAG MD

Original Issue Date

06/19/2013

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023