GREGORY LUCIEN FENTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

GREGORY

Middle

LUCIEN

Last Name

FENTON

Suffix

Business Name

GREGORY LUCIEN FENTON MD

Original Issue Date

10/15/2009

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023