JOSEPH T FANARA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

JOSEPH T

Last Name

FANARA

Business Name

JOSEPH T FANARA

Original Issue Date

05/12/1992

Effective Date

12/16/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025