PHILIP JOSEPH GIANFORTUNE - Podiatrist License in Illinois | # 016003362

PHILIP JOSEPH GIANFORTUNE

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003362

License Status

NOT RENEWED

Business

N

First Name

PHILIP JOSEPH

Last Name

GIANFORTUNE

Business Name

PHILIP JOSEPH GIANFORTUNE

Original Issue Date

06/17/1982

Effective Date

11/16/2018

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021