DAVID M FADELL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028384

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

FADELL

Business Name

DAVID M FADELL

Original Issue Date

05/28/1992

Effective Date

05/28/1992

Expiration Date

06/21/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006