DANIELA FANTO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154021

License Status

ACTIVE

Business

First Name

DANIELA

Last Name

FANTO

Business Name

DANIELA FANTO

Original Issue Date

08/17/2020

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

06/24/2023