CRAIG A FENTON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050785

License Status

INACTIVE

Business

First Name

CRAIG A

Last Name

FENTON

Suffix

Business Name

CRAIG A FENTON MD

Original Issue Date

02/27/1975

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2014