GARY RICHARD FAHRENBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057385

License Status

ACTIVE

Business

First Name

GARY RICHARD

Last Name

FAHRENBACH

Suffix

Business Name

GARY RICHARD FAHRENBACH MD

Original Issue Date

08/21/1978

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023