SETH PALMER FADER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045427

License Status

EXPIRED

Business

First Name

SETH

Middle

PALMER

Last Name

FADER

Suffix

Business Name

SETH PALMER FADER MD

Original Issue Date

10/01/2002

Effective Date

10/01/2002

Expiration Date

09/30/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006