PAUL ABRAHAM SAM FISHKIN 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

PAUL ABRAHAM SAM

Last Name

FISHKIN

Suffix

Business Name

PAUL ABRAHAM SAM FISHKIN MD

Original Issue Date

01/20/1994

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023