FAROUK BOTROS ASAAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

FAROUK BOTROS

Last Name

ASAAD

Suffix

Business Name

FAROUK BOTROS ASAAD MD

Original Issue Date

01/01/1997

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020