MITCHELL A FARAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

MITCHELL

Middle

Last Name

FARAG

Business Name

MITCHELL A FARAG MD

Original Issue Date

06/27/2020

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/29/2023