License holder summary

FARID TANIOS FATA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for FARID TANIOS FATA is Grosse Pointe MI 48236. This medical practitioner license is not current. The license was granted 10/19/2000 and expired on 12/31/2004.

Department of State

Board of Medicine

FARID TANIOS FATA
Medical Physician And Surgeon
License number
MD072100L
Date granted
10/19/2000
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Surrendered
Address
Grosse Pointe MI 48236
medicinepa.com
ID 37610671
LAST UPDATED 2024-03-21 08:00:30 UTC

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