AZUCENA M FABI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058409

License Status

NOT RENEWED

Business

First Name

AZUCENA M

Last Name

FABI

Suffix

Business Name

AZUCENA M FABI MD

Original Issue Date

03/16/1979

Effective Date

03/16/1979

Expiration Date

07/31/1996

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1986000774

Action

Probation

Discipline Start Date

04/22/1992

Discipline End Date

02/24/1995

Discipline Reason

License restored on probation.