FABIAN ENRIQUE CARBONELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

FABIAN

Middle

ENRIQUE

Last Name

CARBONELL

Suffix

Business Name

FABIAN ENRIQUE CARBONELL MD

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

07/31/1999

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020