MATTHEW JOSEPH FANELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137205

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

FANELLI

Business Name

MATTHEW JOSEPH FANELLI MD

Original Issue Date

02/02/2015

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021