FARHEEN KOTHAWALA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

ACTIVE

Business

First Name

FARHEEN

Last Name

KOTHAWALA

Business Name

FARHEEN KOTHAWALA

Original Issue Date

12/06/2024

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026