FARID UD DIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

FARID

Middle

Last Name

DIN

Business Name

FARID UD DIN MD

Original Issue Date

07/24/2018

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023