GREGORY LUCIEN FENTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124435

License Status

ACTIVE

Business

First Name

GREGORY

Middle

LUCIEN

Last Name

FENTON

Suffix

Business Name

GREGORY LUCIEN FENTON MD

Original Issue Date

09/30/2009

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/15/2023