License Directory

Brian D Fairfax Md

Expired

Illinois license 036050441

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050441
Status
Expired (Not Renewed)
First issued
January 30, 1975
License holder
Brian D Fairfax Md
Entity type
Individual

Classifications

More from the license record

Current term began
01/30/1975

Contact

Phoenix, AZ 85006
Arizona County