MICHAEL ANDREW FATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050186

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

ANDREW

Last Name

FATT

Suffix

Business Name

MICHAEL ANDREW FATT MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2006

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006