KERI LEAH FAIR 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

KERI

Middle

LEAH

Last Name

FAIR

Suffix

Business Name

KERI LEAH FAIR MD

Original Issue Date

01/18/2008

Effective Date

01/18/2008

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020