PATRICK J FAHEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

FAHEY

Suffix

Business Name

PATRICK J FAHEY MD

Original Issue Date

01/01/1997

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017