EVGUENI FAYN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109155

License Status

NOT RENEWED

Business

First Name

EVGUENI

Last Name

FAYN

Suffix

Business Name

EVGUENI FAYN MD

Original Issue Date

05/01/2003

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017