BRENT THOMSON FONNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

BRENT THOMSON

Last Name

FONNER

Suffix

Business Name

BRENT THOMSON FONNER MD

Original Issue Date

03/07/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023