The holder whose full name is Farokhi, Farhad,come from Champaign IL,hold the Medical Residency Permit license(NO.11010168A) which status is Superceded.
| Name | Farokhi, Farhad |
|---|---|
| License Number | 11010168A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Champaign |
| State | IL |