WILLIAM T FADER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

Last Name

FADER

Suffix

Business Name

WILLIAM T FADER MD

Original Issue Date

09/19/2002

Effective Date

09/19/2002

Expiration Date

07/31/2008

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020