WASIYA F FAROOQUI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

WASIYA

Middle

Last Name

FAROOQUI

Prefix

Business Name

WASIYA F FAROOQUI

Original Issue Date

07/24/2023

Effective Date

04/04/2024

Expiration Date

03/01/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025