SARAH ANDERSON FANTUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065625

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

ANDERSON

Last Name

FANTUS

Business Name

SARAH ANDERSON FANTUS MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2017

City

DEERFIELD

State

Zip

60015

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2015