TIMOTHY EAMON FAHEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145291

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

EAMON

Last Name

FAHEY

Business Name

TIMOTHY EAMON FAHEY MD

Original Issue Date

03/13/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

06/06/2023