JOSEPH T FANARA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004607

License Status

ACTIVE

Business

First Name

JOSEPH T

Last Name

FANARA

Business Name

JOSEPH T FANARA

Original Issue Date

04/03/1992

Effective Date

12/16/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

02/26/2025