MOHAMMAD FAROOQ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000173

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Last Name

FAROOQ

Business Name

MOHAMMAD FAROOQ

Original Issue Date

12/17/1979

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018