FABIENNE REBECCA HERMAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050863

License Status

CANCELLED

Business

First Name

FABIENNE

Middle

REBECCA

Last Name

HERMAN

Suffix

Business Name

FABIENNE REBECCA HERMAN DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/22/2010