BRENDA KAY FANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100490

License Status

ACTIVE

Business

First Name

BRENDA

Middle

KAY

Last Name

FANN

Suffix

Business Name

BRENDA KAY FANN MD

Original Issue Date

07/01/1999

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

04/11/2023