THOMAS JAMES FAHEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

CANCELLED

Business

First Name

THOMAS JAMES

Last Name

FAHEY

Suffix

Business Name

THOMAS JAMES FAHEY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

BANNOCKBURN

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008