MAXINE ELIZABETH FACEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035456

License Status

EXPIRED

Business

First Name

MAXINE

Middle

ELIZABETH

Last Name

FACEY

Suffix

Business Name

MAXINE ELIZABETH FACEY MD

Original Issue Date

07/24/1996

Effective Date

07/24/1996

Expiration Date

07/23/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006