SINCLAIR EDEN FAIRBANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

SINCLAIR EDEN

Last Name

FAIRBANKS

Suffix

Business Name

SINCLAIR EDEN FAIRBANKS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006