DAVID A FISHMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

FISHMAN

Suffix

Business Name

DAVID A FISHMAN MD

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006