SALVATORE A FANTO 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

SALVATORE A

Last Name

FANTO

Suffix

Business Name

SALVATORE A FANTO MD

Original Issue Date

03/22/1988

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023