FARRAH NGUYEN FANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

FARRAH

Middle

NGUYEN

Last Name

FANG

Suffix

Business Name

FARRAH NGUYEN FANG MD

Original Issue Date

08/24/2005

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011