JAN ALAN FAWCETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JAN ALAN

Last Name

FAWCETT

Suffix

Business Name

JAN ALAN FAWCETT MD

Original Issue Date

01/01/1997

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/12/2017