MELISSA SHANNON FAUBERT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143132

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

SHANNON

Last Name

FAUBERT

Business Name

MELISSA SHANNON FAUBERT DO

Original Issue Date

05/04/2017

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

01/14/2021