LINDSAY MARIE FAIRFAX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

LINDSAY

Middle

MARIE

Last Name

FAIRFAX

Business Name

LINDSAY MARIE FAIRFAX MD

Original Issue Date

06/08/2016

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023