PEDRO CERVANTES FANNING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129100

License Status

NOT RENEWED

Business

Title

First Name

PEDRO

Last Name

CERVANTES FANNING

Business Name

PEDRO CERVANTES FANNING MD

Original Issue Date

10/18/2011

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017