RICHARD JOSEPH FAIRBROTHER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112340

License Status

ACTIVE

Business

First Name

RICHARD

Middle

JOSEPH

Last Name

FAIRBROTHER

Suffix

Business Name

RICHARD JOSEPH FAIRBROTHER DO

Original Issue Date

09/14/2004

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2023