AMY MARIE FADER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077132

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

MARIE

Last Name

FADER

Business Name

AMY MARIE FADER DO

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

OAK LAWN

State

Zip

60417

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022