LISANDRO ROBERTO FORTUNY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

LISANDRO

Middle

ROBERTO

Last Name

FORTUNY

Business Name

LISANDRO ROBERTO FORTUNY MD

Original Issue Date

10/25/2023

Effective Date

10/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/25/2023