THEODORE TOM FABER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162488

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

TOM

Last Name

FABER

Business Name

THEODORE TOM FABER MD

Original Issue Date

09/30/2022

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023