MARK A FARAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

FARAG

Business Name

MARK A FARAG MD

Original Issue Date

06/05/2017

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023