BRENT THOMSON FONNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

BRENT THOMSON

Last Name

FONNER

Suffix

Business Name

BRENT THOMSON FONNER MD

Original Issue Date

03/12/1997

Effective Date

03/12/1997

Expiration Date

07/31/2008

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020