PAUL V FAHRENBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

PAUL V

Last Name

FAHRENBACH

Suffix

Business Name

PAUL V FAHRENBACH MD

Original Issue Date

06/08/1990

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023