JAREER OTHMAN BAKER FARAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

JAREER

Middle

OTHMAN BAKER

Last Name

FARAH

Business Name

JAREER OTHMAN BAKER FARAH MD

Original Issue Date

12/06/2016

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023