SARAH ANDERSON FANTUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

ANDERSON

Last Name

FANTUS

Business Name

SARAH ANDERSON FANTUS MD

Original Issue Date

03/17/2017

Effective Date

05/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023