FARIS A KHASAWNEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

FARIS

Middle

Last Name

KHASAWNEH

Suffix

Business Name

FARIS A KHASAWNEH MD

Original Issue Date

04/11/2007

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

HARRISBURG

State

Zip

62946

County

SALINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020