MAHMOUD FARHAT

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****76

ACTIVE

N

MAHMOUD

FARHAT

MAHMOUD FARHAT

08/09/2024

01/22/2026

03/01/2028

MCHENRY

IL

60050

MCHENRY

II III IV V

N

01/22/2026