ANNA BELLE FISHBEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052680

License Status

CANCELLED

Business

Title

First Name

ANNA

Middle

BELLE

Last Name

FISHBEIN

Business Name

ANNA BELLE FISHBEIN MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/16/2007