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 2026-06-08 03:10:03 UTC
LAST UPDATED 2026-06-08 03:10:03 UTC
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