MATHEW FAKHOURY DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****14

NOT RENEWED

N

DO

MATHEW

FAKHOURY

MATHEW FAKHOURY DO

09/12/2019

09/24/2020

07/31/2023

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

11/30/2023