SAMUEL A FARBSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

SAMUEL A

Last Name

FARBSTEIN

Suffix

Business Name

SAMUEL A FARBSTEIN MD

Original Issue Date

04/12/1982

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023