MICHAEL ROBERT FENLON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166547

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ROBERT

Last Name

FENLON

Business Name

MICHAEL ROBERT FENLON MD

Original Issue Date

08/16/2023

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2024