FABIAN ENRIQUE CARBONELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098028

License Status

ACTIVE

Business

First Name

FABIAN

Middle

ENRIQUE

Last Name

CARBONELL

Suffix

Business Name

FABIAN ENRIQUE CARBONELL MD

Original Issue Date

06/15/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023