REBEKAH DARREIS FENTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149123

License Status

ACTIVE

Business

Title

First Name

REBEKAH

Middle

DARREIS

Last Name

FENTON

Business Name

REBEKAH DARREIS FENTON MD

Original Issue Date

04/20/2019

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2023