RICHARD G FALLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019108

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

FALLER

Business Name

RICHARD G FALLER

Original Issue Date

01/24/1986

Effective Date

01/24/1986

Expiration Date

02/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006