WILLIAM T FADER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

FADER

Suffix

Business Name

WILLIAM T FADER MD

Original Issue Date

11/20/2006

Effective Date

09/30/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020