ELLIOTT SANDERS FARBER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043149

License Status

CANCELLED

Business

First Name

ELLIOTT

Middle

SANDERS

Last Name

FARBER

Business Name

ELLIOTT SANDERS FARBER

Original Issue Date

06/12/2001

Effective Date

06/12/2001

Expiration Date

06/11/2002

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006