CAMERON LEE FAUSETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071605

License Status

EXPIRED

Business

Title

First Name

CAMERON

Middle

LEE

Last Name

FAUSETT

Business Name

CAMERON LEE FAUSETT MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/11/2022