MAXINE ELIZABETH FACEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102177

License Status

NOT RENEWED

Business

First Name

MAXINE

Middle

ELIZABETH

Last Name

FACEY

Suffix

Business Name

MAXINE ELIZABETH FACEY MD

Original Issue Date

03/22/2000

Effective Date

03/22/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2011