D BRUCE FABER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

D BRUCE

FABER

DO

D BRUCE FABER DO

08/25/1986

08/25/1986

07/31/1990

CHICAGO

IL

60615

COOK

II III IV V

N

09/26/2006