GARY L FANNING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

GARY L

Last Name

FANNING

Suffix

Business Name

GARY L FANNING MD

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

07/31/2008

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011