SHAHANA FARRUKH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

SHAHANA

Last Name

FARRUKH

Business Name

SHAHANA FARRUKH

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006