AUSTIN FARES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001406

License Status

EXPIRED

Business

Title

First Name

AUSTIN

Last Name

FARES

Business Name

AUSTIN FARES MD

Original Issue Date

09/14/2021

Effective Date

09/14/2021

Expiration Date

12/13/2021

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022