FAREED NAZIR MARDANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

FAREED

Middle

NAZIR

Last Name

MARDANI

Suffix

Business Name

FAREED NAZIR MARDANI MD

Original Issue Date

06/07/2011

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023