BASHEER LOTFI FARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

BASHEER

Last Name

LOTFI FARD

Business Name

BASHEER LOTFI FARD MD

Original Issue Date

10/23/2023

Effective Date

10/23/2023

Expiration Date

07/31/2026

City

AUSTIN

State

Zip

78701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/23/2023