ASIF H FAROOQUI

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

ACTIVE

N

ASIF

H

FAROOQUI

ASIF H FAROOQUI

08/01/2005

07/21/2023

07/31/2026

HIGHLAND

IN

46322

VERMILION

II III IV V

N

07/21/2023