YEKATERINA FAYN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048794

License Status

CANCELLED

Business

First Name

YEKATERINA

Last Name

FAYN

Suffix

Business Name

YEKATERINA FAYN MD

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

08/17/2007

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006