MELISSA SHANNON FAUBERT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064534

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

SHANNON

Last Name

FAUBERT

Business Name

MELISSA SHANNON FAUBERT DO

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/08/2014