STEFAN FENICHEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061284

License Status

NOT RENEWED

Business

First Name

STEFAN

Last Name

FENICHEL

Suffix

Business Name

STEFAN FENICHEL MD

Original Issue Date

11/12/1980

Effective Date

11/12/1980

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006