MAYA NOELLE FAISON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074646

License Status

CANCELLED

Business

Title

First Name

MAYA

Middle

NOELLE

Last Name

FAISON

Business Name

MAYA NOELLE FAISON MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

12/14/2021