WARREN B FIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121035

License Status

NOT RENEWED

Business

First Name

WARREN

Middle

Last Name

FIELDS

Suffix

Business Name

WARREN B FIELDS MD

Original Issue Date

05/28/2008

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011