RICHARD J FANTUS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006768

License Status

NOT RENEWED

Business

Business Name

RICHARD J FANTUS MD SC

Original Issue Date

12/08/1990

Effective Date

12/22/2021

Expiration Date

01/01/2025

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/03/2025