NISHAAT FAROOQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

NISHAAT

Last Name

FAROOQUI

Business Name

NISHAAT FAROOQUI MD

Original Issue Date

11/02/2023

Effective Date

11/02/2023

Expiration Date

07/31/2026

City

SOUTH HOLLAND

State

Zip

60473

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/02/2023