LE ROY PENFIELD FABER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

LE ROY PENFIELD

Last Name

FABER

Suffix

Business Name

LE ROY PENFIELD FABER MD

Original Issue Date

01/01/1997

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023