LISA M FANTROY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

FANTROY

Business Name

LISA M FANTROY

Original Issue Date

03/23/2001

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026