ROBERT JOSHUA FANTUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070272

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

JOSHUA

Last Name

FANTUS

Business Name

ROBERT JOSHUA FANTUS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018