NICOLA FARIS AZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

NICOLA

Middle

FARIS

Last Name

AZAR

Suffix

Business Name

NICOLA FARIS AZAR MD

Original Issue Date

11/20/2008

Effective Date

11/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017