FAREHA MIR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

FAREHA

Last Name

MIR

Business Name

FAREHA MIR MD

Original Issue Date

09/14/2023

Effective Date

09/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/14/2023