ADEL FAROUK FARAG MINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

ADEL

Middle

FAROUK FARAG

Last Name

MINA

Suffix

Business Name

ADEL FAROUK FARAG MINA MD

Original Issue Date

04/09/2004

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023