MICHELLE FARAZI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

FARAZI

Business Name

MICHELLE FARAZI

Original Issue Date

02/15/2018

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025