RYAN GEOFFREY FABRIZIUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

GEOFFREY

Last Name

FABRIZIUS

Business Name

RYAN GEOFFREY FABRIZIUS MD

Original Issue Date

03/18/2016

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023