ABRA LEIGH FANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

ABRA

Middle

LEIGH

Last Name

FANT

Business Name

ABRA LEIGH FANT MD

Original Issue Date

05/13/2015

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023