SALAH FARES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

SALAH

Last Name

FARES

Business Name

SALAH FARES MD

Original Issue Date

11/18/2011

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

THE WOODLANDS

State

Zip

77382

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020