ROBIN FARIAS-EISNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

ROBIN

Last Name

FARIAS-EISNER

Business Name

ROBIN FARIAS-EISNER

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006