DESIREE I FABROS MUNEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

DESIREE I

Last Name

FABROS MUNEZ

Business Name

DESIREE I FABROS MUNEZ

Original Issue Date

02/28/1992

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023