GREGORY JOSEPH FAHRENBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

JOSEPH

Last Name

FAHRENBACH

Business Name

GREGORY JOSEPH FAHRENBACH MD

Original Issue Date

08/06/1981

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023