ILJA FAIBUSSOWITSCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094678

License Status

ACTIVE

Business

First Name

ILJA

Last Name

FAIBUSSOWITSCH

Suffix

Business Name

ILJA FAIBUSSOWITSCH MD

Original Issue Date

01/15/1997

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/21/2023