RAYMOND J FACCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023634

License Status

EXPIRED

Business

First Name

RAYMOND J

Last Name

FACCO

Suffix

Business Name

RAYMOND J FACCO MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1992

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/25/2018