KURT CHARLES FABRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

KURT

Middle

CHARLES

Last Name

FABRICK

Suffix

Business Name

KURT CHARLES FABRICK MD

Original Issue Date

10/03/2001

Effective Date

10/03/2001

Expiration Date

07/31/2002

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011