FARAH NAZ PATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

FARAH

Middle

NAZ

Last Name

PATHAN

Suffix

Business Name

FARAH NAZ PATHAN MD

Original Issue Date

12/18/2003

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017