SARAH ANDERSON FANTUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142713

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

ANDERSON

Last Name

FANTUS

Business Name

SARAH ANDERSON FANTUS MD

Original Issue Date

03/17/2017

Effective Date

05/01/2020

Expiration Date

07/31/2023

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023