LEO M FARBOTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

LEO M

Last Name

FARBOTA

Suffix

Business Name

LEO M FARBOTA MD

Original Issue Date

03/19/1986

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023