RICHARD JOSEPH FAIRBROTHER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041028

License Status

EXPIRED

Business

First Name

RICHARD

Middle

JOSEPH

Last Name

FAIRBROTHER

Suffix

Business Name

RICHARD JOSEPH FAIRBROTHER DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

07/06/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006