LE ROY PENFIELD FABER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034818

License Status

NOT RENEWED

Business

First Name

LE ROY PENFIELD

Last Name

FABER

Suffix

Business Name

LE ROY PENFIELD FABER MD

Original Issue Date

08/16/1957

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023