IBRAHIM FARID Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

IBRAHIM

Last Name

FARID

Business Name

IBRAHIM FARID

Original Issue Date

09/16/1981

Effective Date

09/16/1981

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006