SAM FAYMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090128

License Status

ACTIVE

Business

First Name

SAM

Last Name

FAYMAN

Suffix

Business Name

SAM FAYMAN MD

Original Issue Date

01/21/1995

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/09/2023

Case Number

2003006705

Action

Reprimand

Discipline Start Date

11/04/2004