FAYE FATINA ISTANBOOLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

FAYE

Middle

FATINA

Last Name

ISTANBOOLY

Suffix

Business Name

FAYE FATINA ISTANBOOLY MD

Original Issue Date

09/28/2004

Effective Date

09/28/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020