FABIAN REVITA FRANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

FABIAN REVITA

Last Name

FRANCO

Suffix

Business Name

FABIAN REVITA FRANCO MD

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006