ALYSSA KAHAN FARGOTSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156058

License Status

ACTIVE

Business

Title

First Name

ALYSSA

Middle

KAHAN

Last Name

FARGOTSTEIN

Business Name

ALYSSA KAHAN FARGOTSTEIN MD

Original Issue Date

03/15/2021

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023