RICHARD LOUIS FAIOLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

CANCELLED

Business

First Name

RICHARD LOUIS

Last Name

FAIOLA

Suffix

Business Name

RICHARD LOUIS FAIOLA MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006