ROBERT JOSHUA FANTUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

JOSHUA

Last Name

FANTUS

Business Name

ROBERT JOSHUA FANTUS MD

Original Issue Date

04/30/2022

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023