HUMAM W FARAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

HUMAM

Middle

Last Name

FARAH

Suffix

Business Name

HUMAM W FARAH MD

Original Issue Date

09/13/2006

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023