MALAK FARES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010800

License Status

ACTIVE

Business

First Name

MALAK

Last Name

FARES

Business Name

MALAK FARES

Original Issue Date

09/17/2024

Effective Date

09/17/2024

Expiration Date

03/01/2026

City

CANTON

State

Zip

48187

Ever Disciplined

LastModifiedDate

12/03/2025