ABRA LEIGH FANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138001

License Status

ACTIVE

Business

Title

First Name

ABRA

Middle

LEIGH

Last Name

FANT

Business Name

ABRA LEIGH FANT MD

Original Issue Date

05/13/2015

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023