ELIZABETH NORD FAHRENBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

NORD

Last Name

FAHRENBACH

Business Name

ELIZABETH NORD FAHRENBACH MD

Original Issue Date

06/19/2013

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023