MATTHEW JOSEPH FANELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

FANELLI

Business Name

MATTHEW JOSEPH FANELLI MD

Original Issue Date

02/02/2015

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021