MAGDALA D LAFONTANT DPM - Podiatrist License in Illinois | # 135000652

MAGDALA D LAFONTANT DPM

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000652

License Status

CANCELLED

Business

N

Title

DPM

First Name

MAGDALA

Middle

D

Last Name

LAFONTANT

Business Name

MAGDALA D LAFONTANT DPM

Original Issue Date

06/27/2008

Effective Date

06/27/2008

Expiration Date

06/27/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/21/2008