KENNETH R FABERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096520

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

FABERT

Suffix

Business Name

KENNETH R FABERT MD

Original Issue Date

08/21/1997

Effective Date

08/21/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006