FARHAD DANIEL HAYATGHAIB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

FARHAD

Middle

DANIEL

Last Name

HAYATGHAIB

Business Name

FARHAD DANIEL HAYATGHAIB MD

Original Issue Date

10/21/2020

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023