FARIS A KHASAWNEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

FARIS

Middle

Last Name

KHASAWNEH

Suffix

Business Name

FARIS A KHASAWNEH MD

Original Issue Date

01/13/2012

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

LEXINGTON

State

Zip

40514

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020