PEDRO CERVANTES FANNING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053782

License Status

CANCELLED

Business

Title

First Name

PEDRO

Last Name

CERVANTES FANNING

Business Name

PEDRO CERVANTES FANNING MD

Original Issue Date

10/15/2009

Effective Date

10/15/2009

Expiration Date

10/14/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/15/2009