FARAH N FAKOURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

FARAH N

Last Name

FAKOURI

Suffix

Business Name

FARAH N FAKOURI MD

Original Issue Date

08/05/1994

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023