ANTON J FAKHOURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ANTON J

Last Name

FAKHOURI

Suffix

Business Name

ANTON J FAKHOURI MD

Original Issue Date

03/31/1999

Effective Date

03/31/1999

Expiration Date

07/31/2005

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020