IHOR J FEDORAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084070

License Status

NOT RENEWED

Business

First Name

IHOR J

Last Name

FEDORAK

Suffix

Business Name

IHOR J FEDORAK MD

Original Issue Date

03/05/1992

Effective Date

03/05/1992

Expiration Date

07/31/1996

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006