ERIC K FANAEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130426

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

FANAEE

Business Name

ERIC K FANAEE MD

Original Issue Date

05/29/2012

Effective Date

05/29/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014