HARRY E FAIVUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047658

License Status

NOT RENEWED

Business

First Name

HARRY E

Last Name

FAIVUS

Suffix

Business Name

HARRY E FAIVUS MD

Original Issue Date

08/17/1973

Effective Date

08/17/1973

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006