BRENDA KAY FANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

BRENDA

Middle

KAY

Last Name

FANN

Suffix

Business Name

BRENDA KAY FANN MD

Original Issue Date

05/29/2001

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023