ANTONIO IPPOLITO MONTEMURRO - Podiatrist License in Wisconsin | # 016005538

ANTONIO IPPOLITO MONTEMURRO

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005538

License Status

NOT RENEWED

Business

N

First Name

ANTONIO

Middle

IPPOLITO

Last Name

MONTEMURRO

Business Name

ANTONIO IPPOLITO MONTEMURRO

Original Issue Date

07/19/2012

Effective Date

11/26/2012

Expiration Date

01/31/2015

State

WI

Ever Disciplined

N

LastModifiedDate

03/09/2015