ESTEBAN FERNANDEZ FAITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125345

License Status

NOT RENEWED

Business

First Name

ESTEBAN

Last Name

FERNANDEZ FAITH

Suffix

Business Name

ESTEBAN FERNANDEZ FAITH MD

Original Issue Date

04/01/2010

Effective Date

04/01/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011