JOSEPH G FANELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

JOSEPH G

Last Name

FANELLI

Suffix

Business Name

JOSEPH G FANELLI MD

Original Issue Date

12/02/1987

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017