FANAN MUSTAFA FALOUJI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

FANAN MUSTAFA

Last Name

FALOUJI

Suffix

Business Name

FANAN MUSTAFA FALOUJI MD

Original Issue Date

08/28/1997

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023