GREGORY WAYNE FARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124615

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

WAYNE

Last Name

FARIS

Business Name

GREGORY WAYNE FARIS MD

Original Issue Date

11/13/2009

Effective Date

11/13/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2014