DONNA L FABER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

DONNA

Middle

Last Name

FABER

Business Name

DONNA L FABER

Original Issue Date

06/03/2005

Effective Date

06/03/2005

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008