NATHAN JOSEPH FANTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

NATHAN

Middle

JOSEPH

Last Name

FANTER

Suffix

Business Name

NATHAN JOSEPH FANTER DO

Original Issue Date

07/14/2011

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023