License holder summary

Basheeruddin Mohammed Farooki is a Physician licensed to practice in Indiana. The address on file for Basheeruddin Mohammed Farooki is mishawaka IN 46545. This licensed professional license is not current. The license was granted 08/20/2002 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Basheeruddin Mohammed Farooki
Physician
License number
01056676A
Date granted
08/20/2002
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
mishawaka IN 46545
indianalicensing.org
ID 6078715
LAST UPDATED 2024-02-27 00:21:15 UTC

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