RAYMOND J FACCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

RAYMOND J

Last Name

FACCO

Suffix

Business Name

RAYMOND J FACCO MD

Original Issue Date

10/17/1991

Effective Date

10/17/1991

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006