ROBIN FARIAS-EISNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015074

License Status

EXPIRED

Business

First Name

ROBIN

Last Name

FARIAS-EISNER

Business Name

ROBIN FARIAS-EISNER

Original Issue Date

11/05/1982

Effective Date

11/05/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006